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

Anna Catalina Manalaysay Bravo-Custodio, PAC

Individual provider Physician Assistant · NPI 1649864455

Anna Catalina Manalaysay Bravo-Custodio, PAC is a Physician Assistant in Upland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1310 San Bernardino Rd Ste 102
Upland, CA 91786-4985
Phone: (909) 608-2008
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA59364 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1649864455
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorYes
NPI enumeratedFebruary 22, 2021
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023

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