ANDREW JASON BLOOM (NPI# 1245665884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245665884 |
| Entity Type | Individual |
| Full Name | ANDREW JASON BLOOM |
| Credential | PA-C |
| Practice Address |
3000 Q St Fl 4 Sacramento CA 95816-7058 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 9167335700 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2017-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA23203 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA IDENTIFICATION NUMBER | 1112428 | 01 | |
| CA | CALIFORNIA PA-C LICENSE | PA23203 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309555 | Andrew Allyn Bloom | Physician Assistant | 5889 Bow St, Bow, WA 98232-8620 | 2020-09-01 |
| 1417483876 | Andrew Bloom | Dentist | 200 Medical Dr Ste A, Carmel, IN 46032-2985 | 2017-05-04 |
| 1750919957 | Andrew James Bloom | Student in an Organized Health Care Education/Training Program | 150 Bergen St # G-142, Newark, NJ 07103-2496 | 2020-04-01 |
| 1982019949 | Andrew Bloom | Emergency Medicine | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2014-06-27 |
| 1891092466 | Andrew David Bloom | Emergency Medicine | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2011-02-17 |
| Street Address |
3000 Q ST FL 4 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-7058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669556965 | Edwin A Cruz | Psychiatry & Neurology | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2006-10-24 |
| 1326527045 | Keith Allen Jackson | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2018-08-13 |
| 1184101354 | Amanda Krause Tirpack | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2018-07-20 |
| 1154830511 | Jody Lynn Davis | Registered Nurse | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2017-09-28 |
| 1245686211 | Stephanie L Yniguez | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2016-05-10 |
| 1588891998 | Edward H Lee | Internal Medicine | 3000 Q St Fl 4, Sacramento, CA 95816 | 2009-06-12 |
| 1861643694 | Jennifer Campbell | Nutritionist | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2008-10-10 |
| 1821245168 | Rita Estanol | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2008-08-19 |
| 1003080557 | Ryan Andrew Armour | Psychiatry & Neurology | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2008-04-16 |
| 1144365529 | Michael Y Han | Orthopaedic Surgery | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271587 | Vera Pavlovna Kondrashov | Physician Assistant | 1860 Howe Ave Ste 455, Sacramento, CA 95825-1086 | 2020-10-04 |
| 1861017691 | Kathryn Anne Pashalides | Physician Assistant | 1400 57th St, Sacramento, CA 95819-4205 | 2020-06-08 |
| 1396369567 | Isabelle Shapiro | Physician Assistant | 1411 U St, Sacramento, CA 95818-1416 | 2020-06-03 |
| 1487276382 | Ndaya Briana Kalambay | Physician Assistant | 3910 Auburn Blvd Apt 68, Sacramento, CA 95821-2130 | 2020-05-13 |
| 1053942888 | Eduardo Sevilla | Physician Assistant | 8129 Polo Crosse Ave, Sacramento, CA 95829-6546 | 2020-01-30 |
| 1316582695 | Lauren Hunter | Physician Assistant | 6600 Bruceville Rd Rm 1h5, Sacramento, CA 95823-4671 | 2019-11-11 |
| 1942841176 | Kimia Ighani | Physician Assistant | 3429 2nd Ave, Sacramento, CA 95817-2802 | 2019-09-29 |
| 1386290195 | Anthony Menacho | Physician Assistant | 2472 Larkspur Ln Apt 363, Sacramento, CA 95825-4153 | 2019-08-16 |
| 1891341178 | Ebtesam Gerges | Physician Assistant | 4411 4th Ave Apt B, Sacramento, CA 95817-3059 | 2019-08-13 |
| 1295392488 | Shea L Smith | Physician Assistant | 2570 48th St, Sacramento, CA 95817-1541 | 2019-05-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.