RICARDO BRAVO PA
NPI 1396853065
Physician Assistant in San Diego, CA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
3490 PALM AVE, SAN DIEGO, CA 92154(619) 423-5616(619) 423-5684 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ricardo Bravo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICARDO BRAVO PA (NPI 1396853065) is an individual physician assistant in San Diego, California, licensed in California (PA13315) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1396853065
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRICARDO BRAVOCredential: PA
Location Address3490 PALM AVESan Diego, CA 92154-1664
Mailing Address1072 Granada WayChula Vista, CA 91910-8707 · (619) 656-6643
Fax(619) 423-5684
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1396853065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA13315
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3490 PALM AVE, San Diego, CA 92154

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ricardo Bravo Pa 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.

PECOS PAC ID5799832200
PECOS Enrollment IDI20140723002209
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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers33 claims72 services$5.49 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers17 claims21 services$0.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
3490 PALM AVE
SAN DIEGO, CA 92154
Family Medicine (Adult Medicine)
3490 PALM AVE
SAN DIEGO, CA 92154
Obstetrics & Gynecology (Gynecology)
3490 PALM AVE
SAN DIEGO, CA 92154
Internal Medicine
3490 PALM AVE
SAN DIEGO, CA 92154
Dentist
3490 PALM AVE
SAN DIEGO, CA 92154
Nurse Practitioner (Family)
3490 PALM AVE
SAN DIEGO, CA 92154
Internal Medicine
3490 PALM AVE
SAN DIEGO, CA 92154
Dentist (General Practice)
3490 PALM AVE
SAN DIEGO, CA 92154

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 Ricardo Bravo's NPI number?

The NPI number for Ricardo Bravo is 1396853065. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Ricardo Bravo located?

Ricardo Bravo practices at 3490 Palm Ave, San Diego, CA 92154. The listed phone number is (619) 423-5616.

What is Ricardo Bravo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ricardo Bravo enrolled in Medicare?

Yes. Ricardo 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.

When was this NPI record last updated?

The NPPES record for Ricardo Bravo was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.