PATRICIA A BROTMAN M.D. A PROFESSIONAL CORP
NPI 1629003256
Dermatology in Chino Hills, CA

Active since July 12, 2006
15944 LOS SERRANOS COUNTRY CLUB DR STE 180, CHINO HILLS, CA 91709(909) 393-3393(909) 597-7009 Get Directions Write a Review

NPPES record last updated: August 20, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Patricia A Brotman M.d. A Professional Corp NPPES

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

PATRICIA A BROTMAN M.D. A PROFESSIONAL CORP (NPI 1629003256) is a healthcare organization registered as a dermatology in Chino Hills, California and active in the NPI registry since July 2006. The organization lists Patricia Arden Brotman, President, Secretary, C.f.o, as its authorized official.

NPPES Registry Identity

NPI1629003256
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePATRICIA A BROTMAN M.D. A PROFESSIONAL CORP
Location Address15944 LOS SERRANOS COUNTRY CLUB DR STE 180Chino Hills, CA 91709-3990
Mailing Address15944 Los Serranos Country Club Dr Ste 180Chino Hills, CA 91709-3990 · (909) 393-3393 · Fax (909) 597-7009
Fax(909) 597-7009
Organization SubpartNo
Authorized OfficialPatricia Arden BrotmanPresident, Secretary, C.f.o · (909) 393-3393
Enumeration DateJuly 12, 2006
Last NPPES UpdateAugust 20, 2012
✔ NPI 1629003256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · G69097
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
15944 LOS SERRANOS COUNTRY CLUB DR STE 180, Chino Hills, CA 91709

Other Identifiers 3

Medicaid00G690970CA
Medicare UPINF29622CA
Medicare ID-Type UnspecifiedZZZ30278ZCA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia A Brotman M.d. A Professional Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Patricia A Brotman M.D. A Professional Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1306871926
15944 LOS SERRANOS COUNTRY CLUB DR STE 180
Chino Hills, CA 91709
(909) 393-3393
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Patricia A Brotman M.D. A Professional Corp's NPI number?

The NPI number for Patricia A Brotman M.D. A Professional Corp is 1629003256. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Patricia A Brotman M.D. A Professional Corp located?

Patricia A Brotman M.D. A Professional Corp is located at 15944 Los Serranos Country Club Dr Ste 180, Chino Hills, CA 91709. The listed phone number is (909) 393-3393.

What is Patricia A Brotman M.D. A Professional Corp's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Patricia A Brotman M.D. A Professional Corp enrolled in Medicare?

Yes. Patricia A Brotman M.D. A Professional Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patricia A Brotman M.D. A Professional Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Patricia A Brotman M.D. A Professional Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Patricia A Brotman M.D. A Professional Corp was last updated on August 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.