Diane Lousie Broome (NPI# 1649341686, PAC ID# 6406042373) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1649341686 |
| PAC ID by PECOS | 6406042373 |
| Professional Enrollment ID | I20101118000612 |
| Full Name | Diane Lousie Broome |
| Organization Legal Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Address |
250 E Caroline St Suite J San Bernardino CA 92408-3758 |
| Phone Number | 9095586388 |
| Gender | F |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1971 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | MEDICAL GENETICS AND GENOMICS |
| Group Practice PAC ID | 1153227814 |
| Number of Group Practice Members | 852 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2195 Club Ctr Dr, Suite A, San Bernardino, CA 92408-4162 | 9098351750 | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| 2195 Club Ctr Dr L, San Bernardino, CA 92408-4162 | 9098351750 | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| 250 E Caroline St, Suite J, San Bernardino, CA 92408-3758 | 9095586388 | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Organization Legal Name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Physicians | 1002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ecler E Jaqua | Family Medicine | Faculty Physicians and Surgeons of Llusm | 25828 Redlands Blvd, Suite 102, Redlands, CA 92373-8450 |
| Lorraine Reverson Ray | Pediatric Medicine | Faculty Physicians and Surgeons of Llusm | 11441 Heacock St, Suite C, Moreno Valley, CA 92557-7907 |
| Mauna-loa Rodgers-blankenship | Nurse Practitioner | Faculty Physicians and Surgeons of Llusm | 81 S Highland Springs Ave, Beaumont, CA 92223-3170 |
| Davin Chu | Physical Medicine and Rehabilitation | Faculty Physicians and Surgeons of Llusm | 11406 Loma Linda Dr, Suite 300, Loma Linda, CA 92354-3711 |
| Ramachandran Pillai Promod Kumar | Neurosurgery | Faculty Physicians and Surgeons of Llusm | 16041 Kamana Rd A, Apple Valley, CA 92307-1331 |
| Biswas Joshi | Pulmonary Disease | Faculty Physicians and Surgeons of Llusm | 250 E Caroline St, Suite J, San Bernardino, CA 92408-3758 |
| Alexandra J Bandy | Nurse Practitioner | Faculty Physicians and Surgeons of Llusm | 11370 Anderson St, B100, Loma Linda, CA 92354-3400 |
| Brian R Hu | Urology | Faculty Physicians and Surgeons of Llusm | 11234 Anderson St, Loma Linda, CA 92354-2804 |
| Brian Wolk | Emergency Medicine | Faculty Physicians and Surgeons of Llusm | 328 Commercial Rd, Suite 101, San Bernardino, CA 92408-3766 |
| Ronald Bruce Johnson | Obstetrics/gynecology | Faculty Physicians and Surgeons of Llusm | 2195 Club Ctr Dr, Suite A, San Bernardino, CA 92408-4162 |
| Street Address |
250 E CAROLINE ST SUITE J |
| City | SAN BERNARDINO |
| State | CA |
| Zip | 92408-3758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Biswas Joshi | Pulmonary Disease | Faculty Physicians and Surgeons of Llusm | 250 E Caroline St, Suite J, San Bernardino, CA 92408-3758 |
| James A Bartley | Pediatric Medicine | Faculty Physicians and Surgeons of Llusm | 250 E Caroline St, Suite J, San Bernardino, CA 92408-3758 |
| Phuong Thao T Hoang | Pediatric Medicine | Faculty Physicians and Surgeons of Llusm | 250 E Caroline St, San Bernardino, CA 92408-3758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Samano | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Brenda J Boyle | Nurse Practitioner | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Roger D Woodruff | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Alma M Palisoc | Preventative Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Maria Lohr | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Catherine Jl Kelly | Psychologist, Clinical | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Ann D Curtis | Clinical Social Worker | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Jennifer Li | Hospitalist | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Janel L Calinisan | Psychologist, Clinical | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Kevin C Shannon | Family Medicine | Sac Health System | 1454 E 2nd St, San Bernardino, CA 92408-0118 |
| Find all physicians in zip 92408 | |||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | SAN BERNARDINO + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Diane Lousie Broome.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.