DR. RICHARD BLOOM (NPI# 1003189010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003189010 |
| Entity Type | Individual |
| Full Name | DR. RICHARD BLOOM |
| Credential | MD |
| Practice Address |
4105 Costado Rd. Pebble Beach CA 93953-3004 |
| Practice Telephone | 8316263256 |
| Practice Fax Number | 8316263268 |
| Mailing Telephone | 8316263256 |
| Mailing Fax Number | 8316263268 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
C27398 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NARCOTICS LICENSE # AB2042012 | C27398 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346410123 | Richard M Bloom | Chiropractor | 100 Red Schoolhouse Rd, 7a, Chestnut Ridge, NY 10977-7049 | 2008-03-07 |
| 1417077272 | Richard B Bloom | Internal Medicine | 3730 N Ridge Rd Ste 200, Kansas Endovascular Medicine Associates, Wichita, KS 67205-1228 | 2007-03-29 |
| 1952481251 | Richard R Bloom | Surgery | 1900 5th Ave, Columbus, GA 31904 | 2006-10-17 |
| 1487678207 | Richard Bloom | Marriage & Family Therapist | 865 3rd St, Santa Rosa, CA 95404-4515 | 2006-07-26 |
| 1063442705 | Richard A. Bloom | Internal Medicine | 194 Lakeside Pl, Highland Park, IL 60035-5317 | 2006-07-04 |
| 1548298250 | Richard R Bloom | Chiropractor | 13947 Beach Blvd Ste 202, Jacksonville, FL 32224-1200 | 2006-06-29 |
| 1326046301 | Richard Michael Bloom | Dentist | 2870 Hempstead Tpke, Suite 101, Levittown, NY 11756-1341 | 2005-07-13 |
| 1447256227 | Richard Fredric Bloom | Psychologist | 292 Post Rd E, Westport, CT 06880-3614 | 2005-06-25 |
| 1548396146 | Richard Stevan Bloom | Social Worker | 39700 Bob Hope Dr, Suite 216, Rancho Mirage, CA 92270-3267 | 2007-02-26 |
| 1871641282 | Richard Kenneth Bloom | Psychologist | 925 The Alameda, #11, Berkeley, CA 94707 | 2007-01-08 |
| Street Address |
4105 COSTADO RD. |
| City | PEBBLE BEACH |
| State | CA |
| Zip Code | 93953-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538593603 | William Henry Kern | Pathology | 965 Sand Dunes Rd, Pebble Beach, CA 93953 | 2013-08-26 |
| 1598979577 | David Stephen Terman | Internal Medicine | 3183 Palmero Way, Pebble Beach, CA 93953 | 2007-05-09 |
| 1942371455 | Nizar A Yaqub | Specialist | 3060 Aztec Rd, Pebble Beach, CA 93953 | 2006-11-13 |
| 1891729174 | James Joseph Debartolo0 | Family Medicine | 1268 Cantera Court, Pebble Beach, CA 93953 | 2006-07-10 |
| 1700997749 | Paul Gordon James | Orthopaedic Surgery | 1546 Riata Road, Pebble Beach, CA 93953-1275 | 2006-08-31 |
| 1043433808 | Lindsay Marie Clark | Internal Medicine | 1411 Cantera Court, Pebble Beach, CA 93953-1416 | 2007-04-10 |
| 1730312596 | Julian John Fisher | Ophthalmology | 2968 Cormorant Rd, Pebble Beach, CA 93953-2706 | 2009-08-27 |
| 1417306176 | Joseph Zakar | Pharmacist | 1010 Rodeo Rd, Pebble Beach, CA 93953-2721 | 2016-06-03 |
| 1609883040 | George T Nichols | Psychologist | 1014 Vaquero Rd, Pebble Beach, CA 93953-2734 | 2006-08-01 |
| 1386905321 | Li Liu Lsack | Acupuncturist | 3088 Hacienda Dr, Pebble Beach, CA 93953-2806 | 2012-06-06 |
| Find all providers in zip 93953 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1164041422 | Advanced Care Multispecialty Medical Group Apc | Internal Medicine | 13990 Bear Fence Court, Moorpark, CA 93021-5022 | 2020-04-15 |
| 1629600416 | Valley Kidney Medical Group Inc | Internal Medicine | 1646 E Herndon Ave Ste 106, Fresno, CA 93720-3380 | 2020-02-10 |
| 1437789278 | Spectrum Dialysis | Internal Medicine | 18040 Sherman Way Ste 220, Reseda, CA 91335-4631 | 2020-01-21 |
| 1932745007 | K Care Ipa | Internal Medicine | 18000 Studebaker Rd Ste 100, Cerritos, CA 90703-7929 | 2019-11-22 |
| 1326609496 | Alliance Hospitalist Medical Corporation | Internal Medicine | 3300 E South St Ste 307, Lakewood, CA 90805 | 2019-06-27 |
| 1669930723 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 160, Chico, CA 95928-8351 | 2019-03-07 |
| 1295293363 | Adventist Health Physicians Network | Internal Medicine | 111 Raley Blvd Ste 220, Chico, CA 95928-8351 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | PEBBLE BEACH |
| Zip Code | 93953 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.