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DARRELL BROUSSARD II
NPI 1699616516
Nurse Practitioner - Psychiatric/Mental Health in Highland, CA

Active since April 03, 2026
7898 PORTOFINO ST, HIGHLAND, CA 92346(909) 327-7284 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darrell Broussard Ii NPPES

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

DARRELL BROUSSARD II (NPI 1699616516) is an individual psychiatric/mental health provider in Highland, California, licensed in California (95038413) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1699616516
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDARRELL BROUSSARD II
Location Address7898 PORTOFINO STHighland, CA 92346-6378
Mailing Address7898 Portofino StHighland, CA 92346-6378 · (909) 327-7284
Phone(909) 327-7284
Sole ProprietorNo
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
✔ NPI 1699616516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95038413
7898 PORTOFINO ST, Highland, CA 92346
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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 Darrell Broussard's NPI number?

The NPI number for Darrell Broussard is 1699616516. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Darrell Broussard located?

Darrell Broussard practices at 7898 Portofino St, Highland, CA 92346. The listed phone number is (909) 327-7284.

What is Darrell Broussard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Darrell Broussard was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.