Jennifer Bromberg

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8651 Issued in CA

Practice address

23361 Madero Ste 200
Mission Viejo, CA 92691-7952

Phone

(949) 581-8239

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327363200000",
    "number": "1023136702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARTIER AISLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926205715",
            "telephone_number": "949-581-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23361 MADERO STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917952",
            "telephone_number": "949-581-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMBERG",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "8651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brinceton M.Phipps, MD Incorporated
• Lauryn Michelle Brink, NP
• Bristol Park Medical Group, Inc
• Bristol Park Medical Group, Inc.
• Andrea L Brokaw, M.A.
• Cynthia Ann Brooks
• Carol J Brown, BSN, RN, PHN, CPHON
• Haze Brown
• Jennifer McCrea-Steele Brown, LCSW
• Judson P Brown, OT

• Occupational Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.