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

Individual provider Physician Assistant · NPI 1396853065

Ricardo Bravo, PA is a Physician Assistant in San Diego, California. Qualified in 1993, 33 years ago. Practices with Marcos Borrero M D Inc, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3490 Palm Ave
San Diego, CA 92154-1664
Phone: (619) 423-5616
Fax: (619) 423-5684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA13315 (CA)

Record details

NPI number1396853065
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Marcos Borrero M D Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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