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

Tamar Michelle Broussard, PA, MPH

Individual provider Physician Assistant · NPI 1740621838

Tamar Michelle Broussard, PA, MPH is a Physician Assistant in Sacramento, California. Qualified in 2013, 13 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group. Licensed in California, New Jersey and Pennsylvania.

Years since qualifying
13
Licensed in
CA, NJ, PA
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

8233 E Stockton Blvd Ste D
Sacramento, CA 95828-8203
Phone: (916) 368-3080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00492300 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence PA23022 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA060105 (PA)

Record details

NPI number1740621838
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA , MPH
Sole proprietorNo
NPI enumeratedJuly 17, 2013
Last updated in NPPESOctober 7, 2023
Certification dateOctober 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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