Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ametra Broome

Individual provider Physician Assistant · NPI 1992931729

Ametra Broome is a Physician Assistant in Gardena, California. Qualified in 2008, 18 years ago. Practices with Exer Medical Corporation, a 333-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2009
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

742 W Gardena Blvd
Gardena, CA 90247-5024
Phone: (310) 327-6044
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA20288 (CA)

Record details

NPI number1992931729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 8, 2009
Last updated in NPPESAugust 15, 2014
Mailing address742 W Gardena Blvd, Gardena, CA 90247-5024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Exer Medical Corporation — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Gardena