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JESUS SANDRO BRACAMONTES BARRAGAN LVN
NPI 1609490002
Licensed Vocational Nurse in San Diego, CA

Active since June 01, 2020
3853 ROSECRANS ST, SAN DIEGO, CA 92110(619) 692-8200 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2023, Jun 1, 2020 (2 updates tracked since 2020).

About Jesus Sandro Bracamontes Barragan Lvn NPPES

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

JESUS SANDRO BRACAMONTES BARRAGAN LVN (NPI 1609490002) is an individual licensed vocational nurse in San Diego, California, licensed in California (710315) and active in the NPI registry since June 2020. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1609490002
Entity TypeIndividualMale
Primary Taxonomy164X00000X
Provider Legal NameJESUS SANDRO BRACAMONTES BARRAGANCredential: LVN
Location Address3853 ROSECRANS STSan Diego, CA 92110-3115
Mailing Address3853 Rosecrans StSan Diego, CA 92110-3115 · (619) 692-8200
Phone(619) 692-8200
Sole ProprietorYes
Enumeration DateJune 1, 2020
Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1609490002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License✔ Licensed in CA · 710315
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
3853 ROSECRANS ST, San Diego, CA 92110
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Secondary Practice Location 1

Location 16991 Balboa Ave Rm 70San Diego, CA 92111-3447 · Phone (858) 496-8232 · Fax (858) 496-8234

Other Providers at the Same Location NPPES 20

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

MR. JASON DANIEL STEIN LMFT
Marriage & Family Therapist
3853 ROSECRANS ST
SAN DIEGO, CA 92110
San Diego County (619) 692-8232
ROBERT KOTTMAN RN
Registered Nurse (Psychiatric/Mental Health, Adult)
3853 ROSECRANS ST
SAN DIEGO, CA 92110
San Diego County (619) 692-8232
MISS MELISSA TARNECKI LVN
Licensed Vocational Nurse
3853 ROSECRANS ST
SAN DIEGO, CA 92110
San Diego County (619) 692-8232
AKIRA LASHAY DUBB
Nurse's Aide
3853 ROSECRANS ST
SAN DIEGO, CA 92110
San Diego County (385) 392-1103
VERITY HERMAWAN RN
Registered Nurse
3853 ROSECRANS ST
SAN DIEGO, CA 92110
San Diego County (619) 692-8200
MR. RICHARD ROLLAND ESQUIVEL ALFONSO II RN
Registered Nurse (Psychiatric/Mental Health, Adult)
3853 ROSECRANS ST
SAN DIEGO, CA 92110
San Diego County (619) 692-8232
KRISTIN LANSANGAN RN, PHN
Registered Nurse (Psychiatric/Mental Health, Adult)
3853 ROSECRANS ST
SAN DIEGO, CA 92110
San Diego County (619) 692-8232
JOHN BAIRD ARCHIBALD LVLN
Licensed Vocational Nurse
3853 ROSECRANS ST
SAN DIEGO, CA 92110
San Diego County (619) 692-8225

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 Jesus Bracamontes Barragan's NPI number?

The NPI number for Jesus Bracamontes Barragan is 1609490002. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Jesus Bracamontes Barragan located?

Jesus Bracamontes Barragan practices at 3853 Rosecrans St, San Diego, CA 92110. The listed phone number is (619) 692-8200.

What is Jesus Bracamontes Barragan's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Jesus Bracamontes Barragan was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.