DR. ABRAHAM E BROUDY


Address: 2440 Fenton St., Ste. 100, Chula Vista, CA 91914
Phone: 6196563040

DR. ABRAHAM E BROUDY (NPI# 1528039526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528039526
Entity Type Individual
Full Name DR. ABRAHAM E BROUDY
Credential MD
Practice Address 2440 Fenton St.
Ste. 100
Chula Vista
CA 91914
Mailing Address 3860 Calle Fortunada
Ste 200
San Diego
CA 92123
Practice Telephone 6196563040
Practice Fax Number 6196563045
Mailing Telephone 8586364300
Mailing Fax Number 8586364319
Enumeration Date 2006-01-28
Last Update Date 2011-01-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics A71609 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MD LICENSE A71609 01

Office Location

Street Address 2440 FENTON ST.
STE. 100
City CHULA VISTA
State CA
Zip Code 91914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780935940 Emily E. Fletcher Pediatrics 2440 Fenton St., Suite 100, Chula Vista, CA 91914-3516 2012-09-27
1750411427 Eugene J Nowak Do Inc Dermatology 2440 Fenton St., 101, Chula Vista, CA 91914 2007-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447785811 Tania Marie Beaudoin Social Worker 2580 Catamaran Way Ste 103, Chula Vista, CA 91914 2017-04-24
1477090447 Leaha Elrod Speech-Language Pathologist 2985 Stevenson Ranch Ct, Chula Vista, CA 91914 2017-01-27
1205382934 Jessica Lexanne Morris Occupational Therapy Assistant 861 Harold Pl, Chula Vista, Chula Vista, CA 91914 2016-09-01
1821457169 Eagles Wings Home Care Inc. Clinic/Center 2529 Saddlehorn Dr., Chula Vista, CA 91914 2016-02-15
1609217355 Joanna Sarao Songcuan Marriage & Family Therapist 2400 Fenton St Ste 217, Chula Vista, CA 91914 2013-07-10
1891043477 Deanna Risos Dmd,pc. Dentist 841 Kuhn Dr. Ste # 102, Chula Vista, CA 91914 2012-08-29
1417262718 Lisa Alvarez Nurse Practitioner 891 Bryce Ave, Chula Vista, CA 91914 2010-08-11
1164669123 Guadalupe Marquez Dentist 2452 Fenton St Ste 200, Chula Vista, CA 91914 2009-01-13
1750537379 Christina Marie Morris Registered Nurse 595 Northbrook Ave., Chula Vista, CA 91914 2008-08-14
1114113008 Adrian Avila Marriage & Family Therapist 2560 Catamaran Way, Chula Vista, CA 91914 2007-09-24
Find all providers in zip 91914

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558716845 Natalie Hollick Pediatrics 865 Third Ave Ste 101, Chula Vista, CA 91911-1349 2016-04-25
1114182094 Carlos Jorge Sanchez Pediatrics 1635 3rd Ave Ste J, Chula Vista, CA 91911-5867 2008-07-21
1881884054 Truc Hac Nguyen Pediatrics 2440 Fenton St, Suite 100, Chula Vista, CA 91914-3516 2007-07-25
1669680351 Maria Corazon Matias Piansay Pediatrics 1935 Corte Verbena, Chula Vista, CA 91914-4619 2007-05-18
1538215678 Childrens Medical Group of South Bay Pediatrics 280 E Street, Chula Vista, CA 91910 2007-01-25
1467505834 Chetan Amritlal Mistry Pediatrics 865 3rd Ave Ste 101, Chula Vista, CA 91911-1349 2007-01-19
1144238098 Diana Ines Mosquera Pediatrics 769 Medical Center Ct Ste 300, Chula Vista, CA 91911 2006-08-04
1417916107 Pamela Velasco Atienza Pediatrics 890 Eastlake Parkway, Suite 200, Chula Vista, CA 91914 2006-03-21
1881665990 Edward J Ottenheimer Jr. Pediatrics 685 3rd Ave, Chula Vista, CA 91910 2006-01-27
1144291337 Ruth M Robles-goche Pediatrics 685 3rd Avenue, Chula Vista, CA 91910 2006-01-27
Find all providers in CHULA VISTA

Competitor

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City CHULA VISTA
Zip Code 91914

Improve Information

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Dataset Information

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.

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