1. Home
  2. Directory
  3. California
  4. Fullerton
  5. Nurse Practitioner
  6. NPI Profile

LIZZETH BROADWAY
NPI 1972842185
Nurse Practitioner - Psychiatric/Mental Health in Fullerton, CA

Active since February 07, 2013PECOS Enrolled
800 N STATE COLLEGE BLVD, FULLERTON, CA 92831(657) 278-3040 Get Directions Write a Review

NPPES record last updated: November 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lizzeth Broadway NPPES

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

LIZZETH BROADWAY (NPI 1972842185) is an individual psychiatric/mental health provider in Fullerton, California, licensed in California (559684) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972842185
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLIZZETH BROADWAY
Location Address800 N STATE COLLEGE BLVDFullerton, CA 92831-3547
Mailing AddressPo Box 6830Fullerton, CA 92834-6830
Phone(657) 278-3040
Sole ProprietorNo
Enumeration DateFebruary 7, 2013
Last NPPES UpdateNovember 21, 2020
NPPES CertifiedNovember 21, 2020
✔ NPI 1972842185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 559684
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 559684 (CA)
800 N STATE COLLEGE BLVD, Fullerton, CA 92831
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lizzeth Broadway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92831 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.

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.

SHRENA DESAI
Student in an Organized Health Care Education/Training Program
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Orange County (657) 278-2011
CAL STATE UNIVERSITY FULLERTON
Clinic/Center (Health Service)
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Orange County (714) 278-2880
MS. VIVIAN V FEARS RN
Registered Nurse (College Health)
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Orange County (714) 278-2813
MISS MADISON TAYLOR MANER
Specialist/Technologist (Athletic Trainer)
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Orange County (657) 278-2011
SOPHIA REYNOSO
Student in an Organized Health Care Education/Training Program
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Orange County (657) 278-2011
MISS TRICIA MIKIKO KASAMATSU ATC
Specialist/Technologist (Athletic Trainer)
800 N STATE COLLEGE BLVD, ATTN: KINESIOLOGY
FULLERTON, CA 92831
Orange County (657) 278-7206
DR. KAREN LEE PERELL PHD, RKT
Kinesiotherapist
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Orange County (714) 278-4384
MS. PATRICIA EILEEN CATANZARO NP
Nurse Practitioner (Family)
800 N STATE COLLEGE BLVD
FULLERTON, CA 92831
Orange County (714) 278-2800

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 Lizzeth Broadway's NPI number?

The NPI number for Lizzeth Broadway is 1972842185. It was assigned to this individual provider in the NPPES registry on February 7, 2013.

Where is Lizzeth Broadway located?

Lizzeth Broadway practices at 800 N State College Blvd, Fullerton, CA 92831. The listed phone number is (657) 278-3040.

What is Lizzeth Broadway's specialty?

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

Is Lizzeth Broadway enrolled in Medicare?

Yes. Lizzeth Broadway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lizzeth Broadway was last updated on November 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.