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ANDERSON BROUSSARD III
NPI 1619411469
Counselor - Addiction (Substance Use Disorder) in Santa Monica, CA

Active since December 13, 2016
909 PICO BLVD, SANTA MONICA, CA 90405(310) 314-6200 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 28, 2016, Dec 13, 2016 (2 updates tracked since 2016).

About Anderson Broussard Iii NPPES

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

ANDERSON BROUSSARD III (NPI 1619411469) is an individual addiction (substance use disorder) provider in Santa Monica, California and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1619411469
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameANDERSON BROUSSARD III
Location Address909 PICO BLVDSanta Monica, CA 90405-1326
Mailing Address909 Pico BlvdSanta Monica, CA 90405-1326
Phone(310) 314-6200
Sole ProprietorYes
Enumeration DateDecember 13, 2016
Last NPPES UpdateDecember 28, 20162 updates tracked since enumeration
✔ NPI 1619411469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
909 PICO BLVD, Santa Monica, CA 90405
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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.

MR. FARES SALIB
Student in an Organized Health Care Education/Training Program
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (949) 344-0543
VANESSA BELTRAMINO EVANS ME.D., LPCA, CADC II
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
DEBRA LEE POORMAN
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 614-6200
DARLENE GUTIERREZ
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
DIVINA LIZA BAHAM
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
CLARE MATRIX
Substance Abuse Rehabilitation Facility
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
MATT KYLE BERMUDEZ
Physician Assistant (Medical)
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200
EBONY SHERRIKA HILL
Counselor (Addiction (Substance Use Disorder))
909 PICO BLVD
SANTA MONICA, CA 90405
Los Angeles County (310) 314-6200

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 Anderson Broussard's NPI number?

The NPI number for Anderson Broussard is 1619411469. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Anderson Broussard located?

Anderson Broussard practices at 909 Pico Blvd, Santa Monica, CA 90405. The listed phone number is (310) 314-6200.

What is Anderson Broussard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Anderson Broussard was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.