MS. LINDA CAROL BROUSSARD (NPI# 1679584445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679584445 |
| Entity Type | Individual |
| Full Name | MS. LINDA CAROL BROUSSARD |
| Credential | P.A.-C. |
| Practice Address |
1701 E Florida Ave Hemet CA 92544-4632 |
| Mailing Address |
140 E Stetson Ave # 116 Hemet CA 92543-7139 |
| Practice Telephone | 9516584486 |
| Practice Fax Number | 9519251026 |
| Mailing Telephone | 9512304016 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2013-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA11346 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA11346 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1701 E FLORIDA AVE |
| City | HEMET |
| State | CA |
| Zip Code | 92544-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104336361 | Yamuna Reddy Kondapally | Internal Medicine | 1701 E Florida Ave, Hemet, CA 92544-4632 | 2017-10-02 |
| 1013399104 | Judith Aranas | Family Medicine | 1701 E Florida Ave, Hemet, CA 92544-4632 | 2015-06-24 |
| 1497147847 | Manikanda Raja Md A Professional Medical Corporation | Internal Medicine | 1701 E Florida Ave, Hemet, CA 92544-4632 | 2015-02-23 |
| 1255615530 | Natasha Alexander | Internal Medicine | 1701 E Florida Ave, Hemet, CA 92544-4632 | 2011-10-04 |
| 1174803043 | Abc Medical Corporation | Clinic/Center | 1701 E Florida Ave, Hemet, CA 92544-4632 | 2011-08-24 |
| 1912085473 | Westland Medical Corporation | Internal Medicine | 1701 E Florida Ave, Hemet, CA 92544-4632 | 2006-11-01 |
| 1730290321 | Manikanda G Raja | Internal Medicine | 1701 E Florida Ave, Hemet, CA 92544-4632 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881164408 | Felix Pelarada Olarita Jr. | Physical Therapist | 41255 Crest Drive, Hemet, CA 92544 | 2018-11-27 |
| 1124453055 | Apex Healthcare Medical Center Inc | Internal Medicine | 2390 E. Florida Ave, Suite 105, Hemet, CA 92544 | 2013-09-11 |
| 1134476062 | Renee Luhrs Macdonald | Counselor | 3990 Faure Rd, Hemet, CA 92544 | 2012-08-09 |
| 1427223916 | Mark Dwayne Dykes | Military Health Care Provider | 700 Colorado Dr, Hemet, CA 92544 | 2008-04-25 |
| 1487825691 | Jody A Balboa | Marriage & Family Therapist | 541 N. San Jacinto Ave, Hemet, CA 92544 | 2008-03-14 |
| 1528246964 | Newport Audiology Centers | Hearing Aid Equipment | 1600 East Florida Ave #312, Hemet, CA 92544 | 2008-02-07 |
| 1730212036 | Welch's Shoe Repair | Prosthetic/Orthotic Supplier | 41819 E Florida Ave, Hemet, CA 92544 | 2007-03-14 |
| 1679635221 | Angela Kay Williams | Psychiatry & Neurology | 39990 Faure Rd, Hemet, CA 92544 | 2006-12-13 |
| 1548238702 | Devonshire Care Center, LLC | Skilled Nursing Facility | 1350 E Devonshire Ave, Hemet, CA 92544 | 2006-03-14 |
| 1669755153 | Amir Rahnavard | Internal Medicine | 1600 E Florida Ave Ste 103, Hemet, CA 92544 | 2011-09-21 |
| Find all providers in zip 92544 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436732 | Henna Mohammad | Physician Assistant | 409 E Thornton Ave Apt H202, Hemet, CA 92543-7652 | 2020-08-07 |
| 1780912014 | Zulema Carrillo | Physician Assistant | 1003 N State St, Hemet, CA 92543-1474 | 2009-11-24 |
| 1922253814 | Hilda Vigil | Physician Assistant | 3853 W Stetson Ave Ste 100, Hemet, CA 92545-9675 | 2008-11-19 |
| 1912037201 | Becky Lynn Gorham | Physician Assistant | 391 N San Jacinto St Ste A, Hemet, CA 92543 | 2007-03-06 |
| 1174534838 | Allan Bedashi | Physician Assistant | 1525 W Florida Ave, Hemet, CA 92543-3825 | 2006-08-10 |
| 1871595017 | Rachel Anne Mcduffie | Physician Assistant | 1264 E Latham Ave, Hemet, CA 92543-4445 | 2005-06-01 |
| 1972061729 | Patricia Mary Korszyk | Physician Assistant | 162 N Santa Fe St, Hemet, CA 92543-4451 | 2019-03-11 |
| 1659848414 | Lindsey Char | Physician Assistant | 3853 W Stetson Ave, Hemet, CA 92545-9674 | 2018-10-30 |
| 1194242461 | Nicolas Antonio Corvini | Physician Assistant | 903 E Devonshire Ave Ste D, Hemet, CA 92543-3097 | 2017-08-27 |
| 1265883649 | Kathleen Ann Linke | Physician Assistant | 1003 E Florida Ave, Suite 101, Hemet, CA 92543-4510 | 2016-06-27 |
| Find all providers in HEMET | ||||
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| 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.