DR. ROBERT BLOOM (NPI# 1396786935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396786935 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BLOOM |
| Credential | M.D. |
| Practice Address |
2700 Low Ct Fairfield CA 94534-9715 |
| Mailing Address |
175 Lennon Ln Suite 100 Walnut Creek CA 94598-2485 |
| Practice Telephone | 9252967156 |
| Practice Fax Number | 9252967174 |
| Mailing Telephone | 9252967156 |
| Mailing Fax Number | 9252967174 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C31588 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548363971 | Robert Franklin Bloom | Dermatology | 3413 20th St, Lubbock, TX 79410 | 2006-09-07 |
| 1821014846 | Robert Leslie Bloom | Internal Medicine | Northern Virigina Pulmonary & Critical Care Assoc. PC, 3289 Woodburn Road, 350, Annandale, VA 22003 | 2006-07-14 |
| 1740713312 | Robert Bloom | Physical Therapy Assistant | 2018 Se Federal Hwy, Stuart, FL 34994-3918 | 2017-04-10 |
| 1942322052 | Robert Jeffrey Bloom | Social Worker | 344 Placerville Dr Ste 17, Placerville, CA 95667-3972 | 2007-04-06 |
| 1467527143 | Robert Jay Bloom | Dentist | 393 N Dunlap St, Suite 100 Central Medical Bldg, St Paul, MN 55104 | 2006-11-21 |
| 1457386104 | Robert A Bloom | Urology | 2900 S Highway 77, Lynn Haven, FL 32444-5612 | 2006-07-11 |
| 1760413389 | Robert E. Bloom | Internal Medicine | 22301 Foster Winter Dr, 2nd Floor, Southfield, MI 48075-3707 | 2006-07-05 |
| 1578512893 | Robert Todd Bloom | Ophthalmology | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-05-06 |
| 1609850932 | Robert W Bloom | Psychiatry & Neurology | 3633 W Lake Ave, Suite 404, Glenview, IL 60026-5805 | 2005-11-30 |
| 1730161910 | Robert Bloom | Psychologist | 5384 Poplar Ave, Suite 313, Memphis, TN 38119-3609 | 2005-11-15 |
| Street Address |
2700 LOW CT |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-9715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821092206 | Sutter Fairfield Surgery Center, LLC | Clinic/Center | 2700 Low Ct, Fl 2, Fairfield, CA 94534-9715 | 2005-06-13 |
| 1285266593 | Marielle Rose Terheyden | Nurse Practitioner | 2700 Low Ct, Fairfield, CA 94534-9715 | 2020-02-05 |
| 1609264498 | Bay Imaging Consultants Medical Group | Radiology | 2700 Low Ct, Fairfield, CA 94534-9715 | 2014-12-31 |
| 1487747333 | Sutter Regional Medical Foundation | Clinic/Center | 2700 Low Ct, Fairfield, CA 94534-9715 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700531 | Fairfield Interventional and Vascular Specialists PC | Radiology | 1 Sasco Hill Rd Ste 2, Fairfield, CT 06824-5670 | 2019-09-20 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1255394227 | Bryson Dale Borg | Radiology | 4357 The Masters Dr, Fairfield, CA 94533-9514 | 2006-04-10 |
| 1336146802 | Gioia Jo Riccio | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2005-06-30 |
| 1114924693 | Robert D. Russo | Radiology | 75 Kings Highway Cutoff, Suite 1a, Fairfield, CT 06824-5340 | 2005-06-30 |
| 1114923893 | Orthopaedic Specialty Group, P.C. | Radiology | 305 Black Rock Tpke, Fairfield, CT 06825 | 2005-06-27 |
| 1972006534 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 4500 Business Center Dr, Fairfield, CA 94534-6888 | 2018-03-09 |
| 1548769284 | Bay Imaging Consultants Medical Group Inc | Radiology | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-02-08 |
| 1649778614 | Rdr Radiology LLC | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-01-25 |
| 1427414903 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 4500 Business Center Dr, Fairfield, CA 94534-6888 | 2016-01-13 |
| Find all providers in FAIRFIELD | ||||
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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.