ALICIA KLAANYENE BRAVO
NPI 1487129474
Nurse Practitioner - Family in Long Beach, CA

Q: What is Alicia Bravo's NPI number?

The NPI number for Alicia Bravo is 1487129474. It was assigned to this individual provider in the NPPES registry on October 5, 2018.

Q: What is Alicia Bravo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Bravo was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since October 05, 2018

3205 LONG BEACH BLVD, LONG BEACH, CA 90807(562) 618-0160 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alicia Klaanyene Bravo NPPES

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

ALICIA KLAANYENE BRAVO (NPI 1487129474) is an individual family provider in Long Beach, California, licensed in California (95010177) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1487129474

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALICIA KLAANYENE BRAVO

Location Address3205 LONG BEACH BLVDLong Beach, CA 90807-5038

Mailing Address3205 Long Beach BlvdLong Beach, CA 90807-5038 · (562) 618-0160

Phone(562) 618-0160

Sole ProprietorYes

Enumeration DateOctober 5, 2018

✔ NPI 1487129474 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 · 95010177

3205 LONG BEACH BLVD, Long Beach, CA 90807

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Other Identifiers 2

Other95010177CA · Nurse Practitioner License #

Medicaid95010177CA

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 Alicia Bravo's NPI number?

The NPI number for Alicia Bravo is 1487129474. It was assigned to this individual provider in the NPPES registry on October 5, 2018.

Where is Alicia Bravo located?

Alicia Bravo practices at 3205 Long Beach Blvd, Long Beach, CA 90807. The listed phone number is (562) 618-0160.

What is Alicia Bravo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Alicia Bravo was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.