DAVID ALLAN BROUSSEAU (NPI# 1598710857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598710857 |
| Entity Type | Individual |
| Full Name | DAVID ALLAN BROUSSEAU |
| Credential | MD |
| Practice Address |
10833 Le Conte Ave Los Angeles CA 90095-3075 |
| Mailing Address |
5767 W Century Blvd Suite 200 Los Angeles CA 90045-5631 |
| Practice Telephone | 3103016219 |
| Practice Fax Number | 3103018751 |
| Mailing Telephone | 3103018708 |
| Mailing Fax Number | 3103018751 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
G82088 | CA | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
G82088 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G820880 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245284595 | David C Brousseau | Pediatrics | 9000 W Wisconsin Ave, Pediatric Emergency Medicine, Milwaukee, WI 53226-4874 | 2006-05-20 |
| Street Address |
10833 LE CONTE AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598761942 | Dennis Goldfinger | Specialist | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2005-06-21 |
| 1972129427 | Matthew Joseph Heinz | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-06-21 |
| 1255955803 | Airton D Soares | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1073137626 | Gonzalo Nicolas Olaverria Salavaggione | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-05-29 |
| 1780204990 | Maira Hinojosa | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-17 |
| 1053930537 | Jeong Min Kim | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-14 |
| 1972122778 | Mojan Mirnia | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-11 |
| 1902435779 | Kaitlin Elizabeth Fusco | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-03 |
| 1487283313 | Jonathan Douglas Gatto | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-3075 | 2020-04-02 |
| 1578191839 | Abhishek Venkataramana | Student in an Organized Health Care Education/Training Program | 10833 Le Conte Ave, Los Angeles, CA 90095-1430 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619363496 | Nathan Ashley | Radiology | 620 N Bonhill Rd, Los Angeles, CA 90049-2302 | 2015-04-08 |
| 1518107952 | Universal Mri & Ct Inc | Radiology | 5757 Wilshire Blvd Suite #100, Los Angeles, CA 90036 | 2009-02-25 |
| 1215192950 | Conor Paul Meehan | Radiology | 10945 Le Conte Ave, Peter V Ueberroth Building, Ste 3371, Los Angeles, CA 90095-7206 | 2008-07-22 |
| 1285808089 | Anna Finkelstein | Radiology | 1500 San Pablo Street Dept of Radiology, Keck School of Medicine Usc Uh Second Floor Imaging, Los Angeles, CA 90033 | 2008-04-14 |
| 1841494614 | Harvard Diagnostic Imaging Center | Radiology | 3031 W Olympic Blvd, 200, Los Angeles, CA 90006-2522 | 2007-06-13 |
| 1033227640 | Ian A Levin | Radiology | 5455 Wilshire Boulevard, Suite 1120, Los Angeles, CA 90036-4201 | 2006-08-25 |
| 1770592768 | Gail Nalls | Radiology | 2001 Beverly Blvd Ste 218, Los Angeles, CA 90057-2403 | 2006-08-07 |
| 1487644027 | Pacific Alliance Medical Group | Radiology | 531 W College St, Los Angeles, CA 90012-2315 | 2005-10-25 |
| 1922461862 | Zachary Mark Haber | Radiology | 757 Westwood Plz, Los Angeles, CA 90095-2105 | 2016-03-29 |
| 1609253533 | Jean Michel Grillon | Radiology | 757 Westwood Plz Ste 1638, Los Angeles, CA 90095-9000 | 2015-04-29 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
Please comment or provide details below to improve the information on DAVID ALLAN BROUSSEAU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.