MR. GERSON YESTIN BRAVO LMFT, APCC
NPI 1700431459
Marriage & Family Therapist in San Jacinto, CA

Q: What is Gerson Bravo's NPI number?

The NPI number for Gerson Bravo is 1700431459. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Q: What is Gerson Bravo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Gerson Bravo was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 August 08, 2019PECOS Enrolled

1695 S SAN JACINTO AVE STE A, SAN JACINTO, CA 92583(951) 330-3100 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 9, 2024, Oct 5, 2024, Aug 8, 2019 (3 updates tracked since 2019).

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About Mr. Gerson Yestin Bravo Lmft, Apcc NPPES

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

MR. GERSON YESTIN BRAVO LMFT, APCC (NPI 1700431459) is an individual marriage & family therapist in San Jacinto, California, licensed in California (149563) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Beaumont.

NPPES Registry Identity

NPI1700431459

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. GERSON YESTIN BRAVOCredential: LMFT, APCC

Location Address1695 S SAN JACINTO AVE STE ASan Jacinto, CA 92583-5103

Mailing Address922 Bluebell WayBeaumont, CA 92223-6602 · (909) 233-0766

Phone(951) 330-3100

Sole ProprietorNo

Enumeration DateAugust 8, 2019

Last NPPES UpdateOctober 9, 20243 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1700431459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 149563

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1695 S SAN JACINTO AVE STE A, San Jacinto, CA 92583

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Secondary Practice Location 1

Location 1922 Bluebell WayBeaumont, CA 92223-6602 · Phone (909) 233-0766

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gerson Yestin Bravo Lmft, Apcc 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.

Other Providers at the Same Location NPPES 7

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

LISA GARCIA FNP

Nurse Practitioner (Family)