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AMELIA LILLIAN BROADNAX
NPI 1851672075
Case Manager/Care Coordinator in San Diego, CA

Active since September 01, 2011
4101 UNIVERSITY AVE, SAN DIEGO, CA 92105(858) 609-9073 Get Directions Write a Review

NPPES record last updated: March 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amelia Lillian Broadnax NPPES

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

AMELIA LILLIAN BROADNAX (NPI 1851672075) is an individual case manager/care coordinator provider in San Diego, California and active in the NPI registry since September 2011. She maintains a secondary practice location in Lemon Grove.

NPPES Registry Identity

NPI1851672075
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameAMELIA LILLIAN BROADNAX
Location Address4101 UNIVERSITY AVESan Diego, CA 92105-1418
Mailing AddressPo Box 1933Lemon Grove, CA 91946-1933 · (858) 609-9073
Phone(858) 609-9073
Sole ProprietorNo
Enumeration DateSeptember 1, 2011
Last NPPES UpdateMarch 15, 2025
NPPES CertifiedMarch 15, 2025
✔ NPI 1851672075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4101 UNIVERSITY AVE, San Diego, CA 92105
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Secondary Practice Location 1

Location 12619 Nida PlLemon Grove, CA 91945-2947 · Phone (858) 609-9073

Other Providers at the Same Location NPPES 4

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

REJUVE-NATIONS OUTPATIENTS FACILITY, INC.
Counselor (Addiction (Substance Use Disorder))
4101 UNIVERSITY AVE, STUITE E204, E205
SAN DIEGO, CA 92105
San Diego County (619) 602-9405
GLM HOUSE INC
Lodging
4101 UNIVERSITY AVE
SAN DIEGO, CA 92105
San Diego County (858) 609-9073
AMANDA ASHLEY THURMAN FNP
Nurse Practitioner (Family)
4101 UNIVERSITY AVE
SAN DIEGO, CA 92105
San Diego County (619) 624-9851
MARY MARGARET ROWE FNP BC, MSN, RN
Nurse Practitioner (Family)
4101 UNIVERSITY AVE
SAN DIEGO, CA 92105
San Diego County (619) 849-7890

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 Amelia Broadnax's NPI number?

The NPI number for Amelia Broadnax is 1851672075. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Where is Amelia Broadnax located?

Amelia Broadnax practices at 4101 University Ave, San Diego, CA 92105. The listed phone number is (858) 609-9073.

What is Amelia Broadnax's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Amelia Broadnax was last updated on March 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.