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

Luis Isaac Venegas

Individual provider Family Nurse Practitioner · NPI 1609698711

Luis Isaac Venegas is a Nurse Practitioner in Brawley, California. Qualified in 2024, 2 years ago. Practices with Tyson Medical Inc, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024

Practice location Address checks out

207 W Legion Rd
Brawley, CA 92227-7780
Phone: (760) 351-4400
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95032172 (CA)

Record details

NPI number1609698711
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address207 W Legion Rd, Brawley, CA 92227-7780

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tyson Medical Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brawley