Individual provider Active NPI

Brooke Lutzi, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1285516609
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66739 Issued in CA
Practice address
2260 El Cajon Blvd
San Diego, CA 92104-1192
Phone
(407) 669-6227
NPI assigned
Jul 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66739 CA Primary

Addresses

Primary practice location

2260 El Cajon Blvd
San Diego, CA 92104-1192

Mailing address

2260 El Cajon Blvd
San Diego, CA 92104-1192

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251217001138 CA Practitioner - Physician Assistant 2163917246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dalia Dawoud MD IncGroup PAC ID 7012370265, 19 clinicians

Practice addresses (Care Compare)

30465 Avenida de Las Flores
Suite a
Rancho Santa Margarita, CA 92688-3937
Phone (949) 264-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA66739CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dalia Dawoud MD Inc CurrentSince Nov 21, 2025 Accepting new patients
Dalia Dawoud MD Inc CurrentSince Nov 21, 2025 Accepting new patients
Dalia Dawoud MD Inc Current Accepting new patients

Locations

4200 Chino Hills Pkwy
Ste 800
Chino Hills, CA 91709
Phone (909) 606-6559

2790 Cabot Dr
Ste 145
Corona, CA 92883
Phone (951) 603-3030

30465 Avenida de las Flores
Ste A
Rancho Santa Margarita, CA 92688
Phone (949) 264-6001

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1285516609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 EL CAJON BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921041192",
            "telephone_number": "407-669-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZI",
        "first_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.