Pamela Broska, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

G61351 Issued in CA

Practice address

72785 Frank Sinatra Dr
Suite 101
Rancho Mirage, CA 92270-3205

Phone

(760) 969-5900

Fax

(760) 969-5900

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Connecticut School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• J Robert West, M.D., Inc

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788

  Mohs-Micrographic Surgery

  Medicare reassignment Care Compare group NPD
• J. Robert West, M.D., Inc

  • Dermatopathology Physician
  • Irvine, CA
  • NPI 1295917904
  NPD (past)
• J. Robert West, M.D., Inc

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1114567997

  Mohs-Micrographic Surgery

  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1770535304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894830",
            "address_2": "LOCK BOX 4830",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "901894830",
            "telephone_number": "760-969-5900",
            "fax_number": "760-969-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72785 FRANK SINATRA DR",
            "address_2": "SUITE 101",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703205",
            "telephone_number": "760-969-5900",
            "fax_number": "760-969-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSKA",
        "first_name": "PAMELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G61351",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G61351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "00G613512",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070013862",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip De Evans Bretz, M.D.
• Janet Jean Briggs, D.O.
• Francisco E Bringas-Jorgan, PA-C
• Cindy Ricafort Briones, PT
• Bristol Hospice - Coachella Valley, L.L.C.
• Jeralyn Ellice Brossfield, MD
• Rubi Zelena Brothers, RN
• Richard Wayne Brown
• Bruce B Chisholm MD a Professional Corporation
• Wesley Thomas Buckle, ND

• MOHS-Micrographic Surgery Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.