Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brave Roots Health LLC

Organization Administrator Registered Nurse · NPI 1508739764

Brave Roots Health LLC is an Administrator Registered Nurse in Corona, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1977 Rainbow Ridge St
Corona, CA 92882-5150
Phone: (562) 412-8589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Administrator Registered Nurse (primary) Taxonomy 163WA2000X

Record details

NPI number1508739764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelisa Guerrero — Administrator · (562) 412-8589
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address1977 Rainbow Ridge St, Corona, CA 92882-5150

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