MRS. ELIZABETH CALDERON-BRAVO FNP
NPI 1306386412
Nurse Practitioner - Family in San Diego, CA
About Mrs. Elizabeth Calderon-bravo Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ELIZABETH CALDERON-BRAVO FNP (NPI 1306386412) is an individual family provider in San Diego, California, licensed in California (95006274) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Elizabeth Calderon-bravo Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Elizabeth Calderon-bravo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chula Vista, CA 91911
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
San Diego, CA 92108
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
San Diego, CA 92111
- Reassigned Medicare billing, California enrollment
- 1,233 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92154 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elizabeth Calderon-bravo's NPI number?
The NPI number for Elizabeth Calderon-bravo is 1306386412. It was assigned to this individual provider in the NPPES registry on March 8, 2017.
Where is Elizabeth Calderon-bravo located?
Elizabeth Calderon-bravo practices at 1179 Sea Reef Dr, San Diego, CA 92154. The listed phone number is (619) 370-7511.
What is Elizabeth Calderon-bravo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Elizabeth Calderon-bravo enrolled in Medicare?
Yes. Elizabeth Calderon-bravo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Elizabeth Calderon-bravo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Calderon-bravo reassigns Medicare benefits to 3 organizations: Pourang Kamali MD Inc (Chula Vista, CA), Southern California Permanente Medical Group (San Diego, CA) and Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Calderon-bravo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elizabeth Calderon-bravo was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Elizabeth Calderon-Bravo, FNP · NPI 1306386412
Family physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 8, 2017.
## Identity
- **NPI:** 1306386412 (Entity type: Individual)
- **Enumerated:** March 8, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95006274 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1179 SEA REEF DR, San Diego, CA 92154-8428
- **Phone:** (619) 370-7511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pourang Kamali MD Inc (NPI 1750608931, Chula Vista, CA); Southern California Permanente Medical Group (NPI 1023425972, San Diego, CA); Sharp Rees-Stealy Medical Group, Inc (NPI 1285616177, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306386412) · Data from the CMS NPPES public registry.