MRS. BROOKE LORRAINE BLOMBERG (NPI# 1811407109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811407109 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE LORRAINE BLOMBERG |
| Other Name | BROOKE LORRAINE CONLIN |
| Practice Address |
27699 Jefferson Ave Temecula CA 92590-2661 |
| Mailing Address |
10392 Glen Rock Cir Moreno Valley CA 92557-2692 |
| Practice Telephone | 9516954688 |
| Mailing Telephone | 9519036931 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146N00000X | Emergency Medical Technician, Basic | B2084708 | CA | Emergency Medical Service Providers |
| Y | 363A00000X | Physician Assistant | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
27699 JEFFERSON AVE |
| City | TEMECULA |
| State | CA |
| Zip Code | 92590-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306831912 | Jon J. Atiga | Pediatrics | 27699 Jefferson Ave, Temecula, CA 92590-2697 | 2005-09-20 |
| 1689021552 | Sleep Apnea Solutions Inc | Durable Medical Equipment & Medical Supplies | 27699 Jefferson Ave, Ste 306, Temecula, CA 92590-2661 | 2016-05-19 |
| 1992120794 | Hizon Medical Corporation | Family Medicine | 27699 Jefferson Ave, Suite 101, Temecula, CA 92590-2661 | 2014-03-03 |
| 1356684237 | Accuquest Hearing Center Inc. | Clinic/Center | 27699 Jefferson Ave, Suite 301, Temecula, CA 92590-2661 | 2013-03-29 |
| 1336479963 | Mike M. Lee, Dds, Inc. | Dentist | 27699 Jefferson Ave, Suite #207, Temecula, CA 92590-2661 | 2010-01-04 |
| 1861638660 | Awoni A Alim | Radiology | 27699 Jefferson Ave, Suite 110, Temecula, CA 92590-2661 | 2008-12-29 |
| 1447495361 | Ernesto T. Salas, Medical Group, Inc. | Specialist | 27699 Jefferson Ave, Suite 311, Temecula, CA 92590-2661 | 2008-12-05 |
| 1528259678 | Michael Skidmore | Dentist | 27699 Jefferson Ave, 306, Temecula, CA 92590-2661 | 2007-08-05 |
| 1730230251 | Michael C Lam Md Inc | Internal Medicine | 27699 Jefferson Ave, Suite 210, Temecula, CA 92590-2661 | 2007-01-12 |
| 1952467755 | Faculty Physicians and Surgeons of Llusm | Neurological Surgery | 27699 Jefferson Ave, #201, Temecula, CA 92590-2661 | 2006-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497221881 | Thangputtevy Melanie Chhea | Behavior Technician | 41769 Enterprise Circle N. Suite 104 & 105, Temecula, CA 92590 | 2018-10-23 |
| 1447734793 | Valleyone Medical LLC | Durable Medical Equipment & Medical Supplies | 27630 Commerce Center Dr, Ste. F, Temecula, CA 92590 | 2018-09-22 |
| 1730672288 | Brittany Heflin | Assistant Behavior Analyst | 41769 Enterprise Cir N Ste 104-105, Temecula, CA 92590 | 2018-06-10 |
| 1679980239 | Brittney Ann Dewall | Psychologist | 28999 Old Town Front Street, Suite 203, Temecula, CA 92590 | 2014-07-16 |
| 1790102853 | Irma Cabral | Counselor | 42072 5th St Ste 201b, Temecula, CA 92590 | 2014-03-26 |
| 1326461799 | Dr Helen H Im Dds | Durable Medical Equipment & Medical Supplies | 28780 Single Oak Dr #150, Temecula, CA 92590 | 2014-01-21 |
| 1205260130 | Canyon Lake Hospice, Inc. | Hospice Care, Community Based | 41661 Enterprise Cir N Ste 217, Temecula, CA 92590 | 2013-08-28 |
| 1265749105 | Audrey Munoz | Rehabilitation Practitioner | 27268 Via Industria, Temecula, CA 92590 | 2010-09-13 |
| 1902134729 | Oprimum Dynamic Achievement | Community/Behavioral Health | 28364 Vincent Moraga, Suite C, Temecula, CA 92590 | 2009-12-07 |
| 1578792057 | Monica Padilla Helvie | Marriage & Family Therapist | 28581 Old Town Front St # 103, Temecula, CA 92590 | 2009-07-06 |
| Find all providers in zip 92590 | ||||
| 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 |
|---|---|---|---|---|
| 1134572662 | Natalie Anastasia Nealeigh | Physician Assistant | 40469 Calle Katerine, Temecula, CA 92591-6981 | 2016-07-20 |
| 1760837314 | Francis Ezpeleta Galura | Physician Assistant | 30197 Corte Plata, Temecula, CA 92591-1900 | 2016-05-02 |
| 1053778274 | Dermatology Specialists, Inc | Physician Assistant | 31469 Rancho Pueblo Rd # 101, Temecula, CA 92592-4834 | 2016-01-19 |
| 1902298565 | Shannon Miller | Physician Assistant | 40674 Calle Cancion, Temecula, CA 92592-9472 | 2015-02-19 |
| 1245669340 | James Brinkman | Physician Assistant | 32032 Cala Gerona, Temecula, CA 92592-3657 | 2013-11-08 |
| 1932494499 | Jacqueline Rose Weir | Physician Assistant | 41715 Winchester Rd Ste 101, Temecula, CA 92590-4853 | 2011-06-13 |
| 1326340225 | John Denton Olson | Physician Assistant | 31675 Calle Barcaldo, Temecula, CA 92592-3611 | 2010-11-28 |
| 1487834644 | Ryan Daniel Rowan | Physician Assistant | 44054 Margarita Rd, Suite 1, Temecula, CA 92592-2773 | 2007-11-05 |
| 1114117470 | Clyde James Burgess Jr. | Physician Assistant | 31616 Loma Linda Rd, Temecula, CA 92592-1639 | 2007-08-01 |
| 1215130562 | Keith David Rouleau | Physician Assistant | 29605 Solana Way, #n6, Temecula, CA 92591-3758 | 2007-06-06 |
| Find all providers in TEMECULA | ||||
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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.