Active NPI
Robert Brouillard
- Hematology & Oncology Physician
- La Jolla, CA
National Provider Identifier
1487626420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G34053
- Practice address
- 9850 Genesee Ave
Ste 830
La Jolla, CA 92037-1224 - Phone
- (858) 552-1410
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G34053 | CA | Primary |
Addresses
Primary practice location
9850 Genesee Ave
Ste 830
La Jolla, CA 92037-1224
Mailing address
9850 Genesee Ave
Ste 830
La Jolla, CA 92037-1224
Phone (858) 552-1410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ximed Hospitalists, Inc. | Past | Accepting new patients | |
| California Cancer Associates for Research and Excellence Inc | Hematology & Oncology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- Fresno, CA
- NPI 1902359425
-
- Specialist
- La Jolla, CA
- NPI 1831124791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487626420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "STE 830",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371224",
"telephone_number": "858-552-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 GENESEE AVE",
"address_2": "STE 830",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371224",
"telephone_number": "858-552-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUILLARD",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G34053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.