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

Grace Chang Broderick, MD

Individual provider Internal Medicine Physician · NPI 1548525264

Grace Chang Broderick, MD is an Internal Medicine in Tustin, California. Graduated from Geisel School of Medicine at Dartmouth in 2012, 14 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
CA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2521 Michelle Dr
Tustin, CA 92780-7014
Phone: (888) 988-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 135716 (CA)

Record details

NPI number1548525264
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2012
Last updated in NPPESNovember 22, 2021
Mailing address2521 Michelle Dr, Tustin, CA 92780-7014

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 2012 (14 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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