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DR. ALISA ANN BROMBERG M.D.
NPI 1447392113
Pediatrics in Pacific Palisades, CA

Active since February 12, 2007PECOS Enrolled
881 ALMA REAL DR STE 316, PACIFIC PALISADES, CA 90272(310) 454-2296(310) 454-2295 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 29, 2021, Aug 21, 2020, Jan 8, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Alisa Ann Bromberg M.d. NPPES

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

DR. ALISA ANN BROMBERG M.D. (NPI 1447392113) is an individual pediatrics provider in Pacific Palisades, California, licensed in California (G81092) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pacific Palisades.

NPPES Registry Identity

NPI1447392113
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ALISA ANN BROMBERGCredential: M.D.
Location Address881 ALMA REAL DR STE 316Pacific Palisades, CA 90272-5061
Mailing Address970 Monument St Ste 220Pacific Palisades, CA 90272-3898 · (310) 454-2296 · Fax (310) 454-2295
Phone(310) 454-2296
Fax(310) 454-2295
Sole ProprietorNo
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJanuary 9, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1447392113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G81092
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

881 ALMA REAL DR STE 316, Pacific Palisades, CA 90272
Open in Google Maps ↗

Secondary Practice Location 1

Location 1970 Monument St Ste 220Pacific Palisades, CA 90272-3898 · Phone (310) 454-2296 · Fax (310) 454-2295

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. Alisa Ann Bromberg M.d. 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 90272 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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

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

CAROLINE SHIM MD
Pediatrics
881 ALMA REAL DR STE 316
PACIFIC PALISADES, CA 90272
Los Angeles County (310) 454-2296

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 Alisa Bromberg's NPI number?

The NPI number for Alisa Bromberg is 1447392113. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Alisa Bromberg located?

Alisa Bromberg practices at 881 Alma Real Dr Ste 316, Pacific Palisades, CA 90272. The listed phone number is (310) 454-2296.

What is Alisa Bromberg's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alisa Bromberg enrolled in Medicare?

Yes. Alisa Bromberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alisa Bromberg was last updated on January 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.