Ethan Adam Aguilar Bravo
Ethan Adam Aguilar Bravo is a Physician Assistant in Santa Maria, California. Qualified in 2025, 1 year ago. Licensed in California.
- Years since qualifying
- 1
- Licensed in
- CA
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
1075 E Betteravia Rd Ste 201Santa Maria, CA 93454-7023
Phone: (805) 621-7714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (CA) |
|---|---|
| Registered Respiratory Therapist | Taxonomy 227900000X · Licence 42870 (CA) |
Record details
| NPI number | 1881464519 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 4, 2024 |
| Last updated in NPPES | February 6, 2024 |
| Certification date | February 6, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |