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DR. LISA A BROCKMAN DO
NPI 1063417798
Internal Medicine in Lynwood, CA

Active since June 17, 2005PECOS Enrolled
3820 MARTIN LUTHER KING JR BLVD, LYNWOOD, CA 90262(310) 632-0415(310) 639-2734 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lisa A Brockman Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA A BROCKMAN DO (NPI 1063417798) is an individual internal medicine provider in Lynwood, California, licensed in California (20A8065) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063417798
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LISA A BROCKMANCredential: DO
Location Address3820 MARTIN LUTHER KING JR BLVDLynwood, CA 90262-3625
Mailing Address3820 Martin Luther King Jr BlvdLynwood, CA 90262-3625 · (310) 632-0415 · Fax (310) 639-2734
Phone(310) 632-0415
Fax(310) 639-2734
Sole ProprietorNo
Enumeration DateJune 17, 2005
Last NPPES UpdateSeptember 17, 2012
✔ NPI 1063417798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 20A8065
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 20A806 (CA)
3820 MARTIN LUTHER KING JR BLVD, Lynwood, CA 90262
Open in Google Maps ↗

Other Identifiers 2

Other002A80650CA · Medi Cal #
Medicare UPINH94234CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa A Brockman Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALTAMED HEALTH SERVICES CORPORATION
Clinic/Center (Physical Therapy)
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 631-0415
MS. LAURA ELIZABETH MURRAY LCSW
Social Worker
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
JUANITA AVILES
Case Manager/Care Coordinator
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 605-0415
JOSHELA CLARK
Occupational Therapist
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
MARIA ELENA RICO
Case Manager/Care Coordinator
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 605-0305
TERESA LOPEZ
Licensed Vocational Nurse
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
CRISHANDRA DIONNE FOSTER CNA
Nurse's Aide
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415
CARRIE PICKINPAUGH
Dietitian, Registered
3820 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Los Angeles County (310) 632-0415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Brockman's NPI number?

The NPI number for Lisa Brockman is 1063417798. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Lisa Brockman located?

Lisa Brockman practices at 3820 Martin Luther King Jr Blvd, Lynwood, CA 90262. The listed phone number is (310) 632-0415.

What is Lisa Brockman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Lisa Brockman enrolled in Medicare?

Yes. Lisa Brockman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Brockman was last updated on September 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.