WENDY CHIAWEN BRAVO MD
NPI 1760915573
Pediatrics - Pediatric Nephrology in Los Angeles, CA

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
4650 W SUNSET BLVD # 40, LOS ANGELES, CA 90027(323) 361-2102 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2024, Jun 24, 2020 (2 updates tracked since 2020).

About Wendy Chiawen Bravo Md NPPES

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

WENDY CHIAWEN BRAVO MD (NPI 1760915573) is an individual pediatric nephrology provider in Los Angeles, California, licensed in Pennsylvania (MT219826) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1760915573
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameWENDY CHIAWEN BRAVOCredential: MD
Location Address4650 W SUNSET BLVD # 40Los Angeles, CA 90027-6062
Mailing Address4650 W Sunset Blvd # 40Los Angeles, CA 90027-6062 · (323) 361-2102
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
NPI 1760915573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License Licensed in PA · MT219826
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
4650 W SUNSET BLVD # 40, Los Angeles, CA 90027

Secondary Practice Location 1

Location 13401 Civic Center Blvd, Division of NephrologyPhiladelphia, PA 19104 · Phone (267) 425-4566

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

Wendy Chiawen Bravo Md 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 ID5890157903
PECOS Enrollment IDI20230821002991
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

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

Dietitian, Registered (Nutrition, Pediatric)
4650 W SUNSET BLVD # 40
LOS ANGELES, CA 90027

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 Wendy Bravo's NPI number?

The NPI number for Wendy Bravo is 1760915573. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Wendy Bravo located?

Wendy Bravo practices at 4650 W Sunset Blvd # 40, Los Angeles, CA 90027. The listed phone number is (323) 361-2102.

What is Wendy Bravo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Wendy Bravo enrolled in Medicare?

Yes. Wendy 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 Wendy Bravo was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.