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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. ELIZABETH CALDERON-BRAVO FNP
NPI 1306386412
Nurse Practitioner - Family in San Diego, CA

Active since March 08, 2017PECOS Enrolled
1179 SEA REEF DR, SAN DIEGO, CA 92154(619) 370-7511 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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.

NPPES Registry Identity

NPI1306386412
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ELIZABETH CALDERON-BRAVOCredential: FNP
Location Address1179 SEA REEF DRSan Diego, CA 92154-8428
Mailing Address1179 Sea Reef DrSan Diego, CA 92154-8428 · (619) 370-7511
Phone(619) 370-7511
Sole ProprietorNo
Enumeration DateMarch 8, 2017
Last NPPES UpdateJuly 21, 2026
NPPES CertifiedJuly 21, 2026
✔ NPI 1306386412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95006274
1179 SEA REEF DR, San Diego, CA 92154
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elizabeth Calderon-bravo Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Elizabeth Calderon-bravo was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.