| Mrs Brooke Lorraine Blomberg, | |
|
27699 Jefferson Ave, Temecula, CA 92590-2661 | |
| (951) 695-4688 | |
| Not Available |
| Full Name | Mrs Brooke Lorraine Blomberg |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 27699 Jefferson Ave, Temecula, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811407109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (California) | Primary |
| 146N00000X | Emergency Medical Technician, Basic | B2084708 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Emergency Medicine | 8628128196 | 45 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Entity Name | Southern California Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639314255 PECOS PAC ID: 8628128196 Enrollment ID: O20090604000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brooke Lorraine Blomberg, 10392 Glen Rock Cir, Moreno Valley, CA 92557-2692 Ph: (951) 903-6931 | Mrs Brooke Lorraine Blomberg, 27699 Jefferson Ave, Temecula, CA 92590-2661 Ph: (951) 695-4688 |
Brittany M Johnson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 31537 Rancho Pueblo Rd, Suite 105, Temecula, CA 92592 Phone: 951-699-0848 Fax: 951-699-0509 |
Krystina Carcone, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 31720 Temecula Pkwy, Temecula, CA 92592 Phone: 951-303-6900 |
Joel Roberts, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30589 Temecula Pkwy, Temecula, CA 92592 Phone: 951-412-1540 Fax: 951-412-1541 |
Amber Holden, MPAP, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 28780 Single Oak Dr Ste 160, Temecula, CA 92590 Phone: 619-277-9900 |
Mrs. Elizabeth A Severy, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 31537 Rancho Pueblo Rd, Temecula, CA 92592 Phone: 951-303-2277 |
Dr. Chris Towery, MD, PA-C, NP Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 31700 Temecula Pkwy, Temecula, CA 92592 Phone: 951-600-4338 |
Lena Zaki Sarsam, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 27450 Ynez Rd Ste 109, Temecula, CA 92591 Phone: 951-587-0070 Fax: 949-655-7878 |