Serena Brouelette

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

360 San Miguel Dr Ste 406
Newport Beach, CA 92660-7822

Phone

(949) 525-0700

NPI assigned

Oct 23, 2023

Last updated

Jan 21, 2024By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michelle Aszterbaum MD IncGroup PAC ID 1658402052, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michelle Aszterbaum MD Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1295059020
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1083486187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 CAMELBACK ST",
            "address_2": "PO BOX #10293",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92658",
            "telephone_number": "949-485-0215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 406",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607822",
            "telephone_number": "949-525-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUELETTE",
        "first_name": "SERENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Broekelschen, MD
• Erika Shanelle Brogdon, NP-C
• Erica Gilbert Bromley, M.D.
• Brooke Alexander-Bloom D.O a Professional Medical Corporation
• Allyson Brooks, MD
• George H Brouillet, AMFT
• Jorja Rae Broussard
• David Brouwer, MD
• Brown Family Counseling Incorporated
• Alexandra Redfern Brown, DNP, FNP-C

• Physician Assistant in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.