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DR. RENATO ULISES BRAVO
NPI 1962146738
Dentist in Vista, CA

Active since April 26, 2022PECOS Enrolled
1350 E VISTA WAY STE 10, VISTA, CA 92084(760) 208-1173 Get Directions Write a Review

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

About Dr. Renato Ulises Bravo NPPES

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

DR. RENATO ULISES BRAVO (NPI 1962146738) is an individual dentist in Vista, California, licensed in California (109197) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962146738
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RENATO ULISES BRAVO
Location Address1350 E VISTA WAY STE 10Vista, CA 92084-4037
Mailing Address3878 Henson StRiverdale, CA 93656-9215 · (559) 824-9479
Phone(760) 208-1173
Sole ProprietorNo
Enumeration DateApril 26, 2022
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1962146738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 109197
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1350 E VISTA WAY STE 10, Vista, CA 92084
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Renato Ulises Bravo 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92084 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 3

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

MOHINI PATEL DMD
Dentist
1350 E VISTA WAY STE 10
VISTA, CA 92084
San Diego County (760) 208-1173
SHOKOUFEH YASERI DDS
Dentist (General Practice)
1350 E VISTA WAY STE 10
VISTA, CA 92084
San Diego County (760) 208-1173
RONNY LE DENTAL CORPORATION
Dentist
1350 E VISTA WAY STE 10
VISTA, CA 92084
San Diego County (760) 208-1173

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 Renato Bravo's NPI number?

The NPI number for Renato Bravo is 1962146738. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Renato Bravo located?

Renato Bravo practices at 1350 E Vista Way Ste 10, Vista, CA 92084. The listed phone number is (760) 208-1173.

What is Renato Bravo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Renato Bravo enrolled in Medicare?

Yes. Renato Bravo is registered in the Medicare PECOS enrollment system.

What insurance does Renato Bravo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Renato Bravo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renato Bravo was last updated on September 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.