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ANNA CATALINA MANALAYSAY BRAVO-CUSTODIO PAC
NPI 1649864455
Physician Assistant in Upland, CA

Active since February 22, 2021
1310 SAN BERNARDINO RD STE 102, UPLAND, CA 91786(909) 608-2008 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 25, 2023, Jul 12, 2021, Feb 22, 2021 (3 updates tracked since 2021).

About Anna Catalina Manalaysay Bravo-custodio Pac NPPES

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

ANNA CATALINA MANALAYSAY BRAVO-CUSTODIO PAC (NPI 1649864455) is an individual physician assistant in Upland, California, licensed in California (PA59364) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1649864455
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNA CATALINA MANALAYSAY BRAVO-CUSTODIOCredential: PAC
Location Address1310 SAN BERNARDINO RD STE 102Upland, CA 91786-4985
Mailing Address1310 San Bernardino Rd Ste 102Upland, CA 91786-4985 · (909) 608-2008
Phone(909) 608-2008
Sole ProprietorYes
Enumeration DateFebruary 22, 2021
Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1649864455 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 · PA59364
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.
1310 SAN BERNARDINO RD STE 102, Upland, CA 91786
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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 Anna Catalina Bravo-custodio's NPI number?

The NPI number for Anna Catalina Bravo-custodio is 1649864455. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Where is Anna Catalina Bravo-custodio located?

Anna Catalina Bravo-custodio practices at 1310 San Bernardino Rd Ste 102, Upland, CA 91786. The listed phone number is (909) 608-2008.

What is Anna Catalina Bravo-custodio's specialty?

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

When was this NPI record last updated?

The NPPES record for Anna Catalina Bravo-custodio was last updated on October 25, 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.