NPIMap

Individual provider Active NPI

Brooke Laduca, MD

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1790704864
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A78475 Issued in CA
Practice address
450 E Spring St Ste 1
Long Beach, CA 90806-1625
Phone
(562) 933-0050
Fax
(562) 933-0079
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A78475 CA Primary

Addresses

Primary practice location

450 E Spring St Ste 1
Long Beach, CA 90806-1625

Mailing address

17360 Brookhurst Street
Attn: Credentialing Department
Fountain Valley, CA 92708-3720
Phone (657) 241-3592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000564 CA Practitioner - Family Practice 7719168210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians
Richard David Griffith MD IncGroup PAC ID 5496020745, 3 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

2150 Main St
Suite 3
Cambria, CA 93428-3022
Phone (805) 927-1673

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.51 of 100Reported as group
Quality
69.8
Improvement activities
40
Cost
65.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions59
Removal or shaving of skin growth1-10
Skin biopsy35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78475CAMDClinical Social Worker
A78475CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation Family Medicine CurrentSince Mar 15, 2011 Accepting new patients
Richard David Griffith MD, Inc. CurrentSince Jan 25, 2023 Accepting new patients
Dr Dave Griffith Inc CurrentSince Jan 25, 2023 Accepting new patients

Locations

2150 Main St
Ste 3
Cambria, CA 93428
Phone (805) 440-3283

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

450 E Spring St
Ste 1
Long Beach, CA 90806
Phone (562) 933-0050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25380/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brooke.laduca.1@25380.direct.athenahealth.com
  • Direct secure messaging: bladuca19018@direct.memorialcare.org

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1790704864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17360 BROOKHURST STREET",
            "address_2": "ATTN: CREDENTIALING DEPARTMENT",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083720",
            "telephone_number": "657-241-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E SPRING ST STE 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061625",
            "telephone_number": "562-933-0050",
            "fax_number": "562-933-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADUCA",
        "first_name": "BROOKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A78475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.