ETHAN ADAM AGUILAR BRAVO
NPI 1881464519
Physician Assistant in Santa Maria, CA

Q: What is Ethan Aguilar Bravo's NPI number?

The NPI number for Ethan Aguilar Bravo is 1881464519. It was assigned to this individual provider in the NPPES registry on January 4, 2024.

Q: What is Ethan Aguilar Bravo's specialty?

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

Active since January 04, 2024PECOS Enrolled

1075 E BETTERAVIA RD STE 201, SANTA MARIA, CA 93454(805) 621-7714 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2024, Jan 4, 2024 (2 updates tracked since 2024).

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About Ethan Adam Aguilar Bravo NPPES

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

ETHAN ADAM AGUILAR BRAVO (NPI 1881464519) is an individual physician assistant in Santa Maria, California and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1881464519

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameETHAN ADAM AGUILAR BRAVO

Location Address1075 E BETTERAVIA RD STE 201Santa Maria, CA 93454-7023

Mailing Address40916 Road 56Reedley, CA 93654-9133 · (559) 740-2890

Phone(805) 621-7714

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 4, 2024

Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1881464519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

Also ListedRespiratory Therapist, RegisteredTaxonomy 227900000X · License 42870 (CA)

1075 E BETTERAVIA RD STE 201, Santa Maria, CA 93454

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Adam Aguilar Bravo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729561634

PECOS Enrollment IDI20260310001213

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.71 typical visit price

range $62.01 – $184.40

Typical copayment $23.67 (range $15.50 – $46.10)

Most-billed visit code 99203

Established Patient

$76.76 typical visit price

range $20.60 – $151.20

Typical copayment $19.19 (range $5.15 – $37.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NICHOLAS CICO

Student in an Organized Health Care Education/Training Program