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DANIEL OLIN BROUSSEAU D.O.
NPI 1841385457
Family Medicine in Pasadena, CA

Active since October 03, 2006Opted out of Medicare · through Nov 16, 2027
740 N. LAKE AVE, PASADENA, CA 91104(626) 794-4668(626) 345-9753 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Olin Brousseau D.o. NPPES

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

DANIEL OLIN BROUSSEAU D.O. (NPI 1841385457) is an individual family medicine provider in Pasadena, California, licensed in California (20A7759) and active in the NPI registry since October 2006. He has opted out of Medicare through November 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841385457
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL OLIN BROUSSEAUCredential: D.O.
Location Address740 N. LAKE AVEPasadena, CA 91104
Mailing Address740 N. Lake AvePasadena, CA 91104 · (626) 794-4668 · Fax (626) 345-9753
Phone(626) 794-4668
Fax(626) 345-9753
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1841385457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A7759
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
740 N. LAKE AVE, Pasadena, CA 91104
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Other Identifiers 1

Medicare UPINH77734CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Daniel Olin Brousseau D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 16, 2021 through November 16, 2027.

Opt-Out Effective DateNovember 16, 2021
Opt-Out In Effect ThroughNovember 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91104 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$61.35 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$32.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Daniel Brousseau's NPI number?

The NPI number for Daniel Brousseau is 1841385457. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Daniel Brousseau located?

Daniel Brousseau practices at 740 N. Lake Ave, Pasadena, CA 91104. The listed phone number is (626) 794-4668.

What is Daniel Brousseau's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Brousseau enrolled in Medicare?

No. Daniel Brousseau has opted out of Medicare through November 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Daniel Brousseau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.