ERNEST BLOOM (NPI# 1306941620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306941620 |
| Entity Type | Individual |
| Full Name | ERNEST BLOOM |
| Credential | MD |
| Practice Address |
501 S Shore Ctr W 103a Alameda CA 94501-5762 |
| Practice Telephone | 5102277028 |
| Practice Fax Number | 5102747119 |
| Mailing Telephone | 5102277028 |
| Mailing Fax Number | 5102747119 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2013-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | G56359 | CA | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
G56359 | CA | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
G56359 | CA | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
G56359 | CA | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
G56359 | CA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
G56359 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366561011 | Ernest Randy Bloom | Physical Therapy Assistant | 1930 Highland Avenue Suite A, Augusta, GA 30904-7803 | 2007-03-27 |
| Street Address |
501 S SHORE CTR W 103A |
| City | ALAMEDA |
| State | CA |
| Zip Code | 94501-5762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366426470 | James Kong | Allergy & Immunology | 501 S Shore Ctr W, Suite 103c, Alameda, CA 94501-5762 | 2005-12-01 |
| 1124446158 | Alameda Health System | Clinic/Center | 501 S Shore Ctr W, Suite A-f, Alameda, CA 94501-5762 | 2014-04-07 |
| 1982020269 | Carol A. Gerdes M.d. A Professional Corporation | Obstetrics & Gynecology | 501 S Shore Ctr W, Suite D, Alameda, CA 94501-5762 | 2014-03-11 |
| 1114250404 | Michael E. Gorin, Md Professional Corporation | Ophthalmology | 501 S Shore Ctr W, Suite 103b, Alameda, CA 94501-5762 | 2009-09-17 |
| 1588804355 | Alameda Hospital Physicans, A Community Clinic | Clinic/Center | 501 S Shore Ctr W, Ste F, Alameda, CA 94501-5762 | 2009-03-05 |
| 1336302959 | Roberto Armando Celada | Surgery | 501 S Shore Ctr W, Suite F, Alameda, CA 94501-5762 | 2008-07-03 |
| 1144417148 | Norcal Urology Medical Group, Inc | Urology | 501 S Shore Ctr W, Suite 103, Alameda, CA 94501-5762 | 2007-10-03 |
| 1255536173 | Emeryville Multispecialty Medical Group Professional Corporation | Independent Medical Examiner | 501 S Shore Ctr W, Suite 103c, Alameda, CA 94501-5762 | 2007-06-20 |
| 1467531327 | Hon-wai Kelvin Lam | Family Medicine | 501 S Shore Ctr W, Suite C, Alameda, CA 94501-5762 | 2006-11-03 |
| 1417063306 | Carol A Gerdes | Obstetrics & Gynecology | 501 S Shore Ctr W, Suite D, Alameda, CA 94501-5762 | 2006-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259158 | Hailee Ann Heiselbetz | Behavior Technician | 1025 Atlantic Ave. Ste 101, Alameda, CA 94501 | 2020-09-09 |
| 1134745961 | Linda Nykin | Naturopath | 2002 Monterey Cir, Alameda, CA 94501 | 2020-06-17 |
| 1801427570 | Mirna Rodriguez Lopez | Behavior Technician | 1025 Atlantic Ave. Ste. 101, Alameda, CA 94501 | 2020-01-30 |
| 1356987010 | Guadalupe H Hernandez | Technician | 3650 Mount Diablo Blvd, Layayette, CA 94501 | 2019-11-18 |
| 1952951832 | Lily T Nguyen | Behavior Technician | 1025 Atlantic Ave, Suite 101, Alameda, CA 94501 | 2019-09-12 |
| 1326503004 | Mary Macpherson | Speech-Language Pathologist | 2308 Central Ave., Alameda, CA 94501 | 2019-02-06 |
| 1285103838 | Stephanie Owens | Behavioral Analyst | 2213 Clinton Ave #a, Alameda, CA 94501 | 2018-11-13 |
| 1508349390 | Cindy Cabrera | Behavioral Analyst | 1025 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-09-08 |
| 1629554928 | Anita Elizabeth Bower | Behavioral Analyst | 125 Atlantic Ave Suite 101, Alameda, CA 94501 | 2018-07-19 |
| 1659862571 | Mariana Rocio Pacas Mexicano | Behavioral Analyst | 1025 Atlantic Ave. Suite 101, Alameda, CA 94501 | 2018-05-26 |
| Find all providers in zip 94501 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| 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 Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1487011995 | Brouha Dermatology, P.C. | Dermatology | 1319 Beryl St, San Diego, CA 92109-2102 | 2016-01-28 |
| 1528317419 | Heidi M Gilchrist, Md, Inc. | Dermatology | 345 Saxony Road Suite 201, Encinitas, CA 92024-2787 | 2012-09-06 |
| 1194028233 | Pavillion Asc Inc. | Dermatology | 28901 S. Western Avenue #127, Rancho Palos Veredes, CA 90275 | 2010-12-13 |
| 1093021495 | Douglas G Hamilton Medical Corp | Dermatology | 6325 Topanga Canyon Blvd Ste 301, Woodland Hills, CA 91367-2029 | 2010-08-23 |
| 1124254933 | Ronnie M Abraham | Dermatology | 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 | 2009-06-08 |
| 1316187180 | Choice Telemed | Dermatology | 2001 Union St Ste 495, San Francisco, CA 94123-4128 | 2009-03-05 |
| 1063686707 | James D. Jacobitz, M.d. Inc. | Dermatology | 190 Eucalyptus Dr, San Francisco, CA 94132-1629 | 2008-04-14 |
| 1407034481 | Richard P Klimkowski Md PC | Dermatology | 224 Del Mar, #b, San Clemente, CA 92672-4011 | 2008-02-01 |
| 1457538415 | S. Gayle Widyolar, M.d., Inc. | Dermatology | 21 Montecito Dr, Corona Del Mar, CA 92625-1017 | 2008-01-22 |
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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.