AMETRA BROOME
NPI 1992931729
Physician Assistant in Gardena, CA

Active since June 08, 2009PECOS EnrolledAccepts Medicare Assignment
742 W GARDENA BLVD, GARDENA, CA 90247(310) 327-6044 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ametra Broome NPPES

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

AMETRA BROOME (NPI 1992931729) is an individual physician assistant in Gardena, California, licensed in California (PA20288) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1992931729
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMETRA BROOME
Location Address742 W GARDENA BLVDGardena, CA 90247-5024
Mailing Address742 W Gardena BlvdGardena, CA 90247-5024 · (310) 327-6044
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 8, 2009
Last NPPES UpdateAugust 15, 2014
NPI 1992931729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA20288
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

742 W GARDENA BLVD, Gardena, CA 90247

Other Identifiers 6

MedicaidGR0083640CA
OtherZZZ20075ZCA · Medicare
OtherZZZ19972ZCA · Medicare Group
MedicaidGR0083641CA
OtherZZZ19972ZCA · Medicare
OtherZZZ20075ZCA · Medicare Group

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ametra Broome is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163577750
PECOS Enrollment IDI20090903000279
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 90247 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers16 claims26 services$4.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims12 services$0.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Nurse Practitioner
742 W GARDENA BLVD
GARDENA, CA 90247
Clinic/Center (Federally Qualified Health Center (FQHC))
742 W GARDENA BLVD
GARDENA, CA 90247
Pediatrics
742 W GARDENA BLVD
GARDENA, CA 90247
Internal Medicine
742 W GARDENA BLVD
GARDENA, CA 90247
Internal Medicine
742 W GARDENA BLVD
GARDENA, CA 90247
Family Medicine
742 W GARDENA BLVD
GARDENA, CA 90247
Clinic/Center (Federally Qualified Health Center (FQHC))
742 W GARDENA BLVD
GARDENA, CA 90247
Internal Medicine
742 W GARDENA BLVD
GARDENA, CA 90247

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 Ametra Broome's NPI number?

The NPI number for Ametra Broome is 1992931729. It was assigned to this individual provider in the NPPES registry on June 8, 2009.

Where is Ametra Broome located?

Ametra Broome practices at 742 W Gardena Blvd, Gardena, CA 90247. The listed phone number is (310) 327-6044.

What is Ametra Broome's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ametra Broome enrolled in Medicare?

Yes. Ametra Broome is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ametra Broome was last updated on August 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.