Brave Roots Health LLC
NPI 1508739764ActiveOrganization· Registered Nurse, Administrator· Corona, CA
Registered Nurse, Administrator in Corona, California, registered in NPPES in September 2025. The authorized official on file is Shelisa Guerrero, Administrator.
Overview
| NPI | 1508739764 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2025 |
| Last updated in NPPES | Sep 24, 2025 |
| Certified by provider | Sep 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, Administrator Primary | 163WA2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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