JEFFREY M. BLOOM M.D. INC (NPI# 1457781841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457781841 |
| Entity Type | Organization |
| Organization Name | JEFFREY M. BLOOM M.D. INC |
| Practice Address |
1241 Johnson Ave Suite 200 San Luis Obispo CA 93401-3306 |
| Practice Telephone | 8055412300 |
| Practice Fax Number | 8055412301 |
| Mailing Telephone | 8055412300 |
| Mailing Fax Number | 8055412301 |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2014-05-27 |
| Authorized Official Name | JEFFREY M BLOOM (PRESIDENT) |
| Authorized Official Telephone | 8055412300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1241 JOHNSON AVE SUITE 200 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154346377 | Jeffrey M Bloom | Internal Medicine | 1241 Johnson Ave, Ste. 200, San Luis Obispo, CA 93401-3306 | 2006-07-12 |
| 1497170518 | Richard Paul | Obstetrics & Gynecology | 1241 Johnson Ave, San Luis Obispo, CA 93401-3306 | 2014-02-26 |
| 1942591144 | Pierre Reyad | Pharmacist | 1241 Johnson Ave, 347, San Luis Obispo, CA 93401-3306 | 2011-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043692866 | Philippe Duhaime | Internal Medicine | Sierra Vista Regional Medical Center, 1010 Murray Ave, San Luis Obispo, CA 93405-9340 | 2015-06-29 |
| 1447489893 | G. Zacharia Reagle | Internal Medicine | 1428 Phillips Ln Ste 203, San Luis Obispo, CA 93401-2551 | 2009-07-07 |
| 1336332402 | Bruce Faecher | Internal Medicine | California Men's Colony Highway 1, Department of Medicine, San Luis Obispo, CA 93409-0001 | 2007-08-22 |
| 1881886935 | Camilo Guiang | Internal Medicine | 11349 Los Osos Valley Rd Apt A, San Luis Obispo, CA 93405-6365 | 2007-08-13 |
| 1376734285 | Robert Tom Misson | Internal Medicine | Cmc Hospital California Men's Colony Highway One, San Luis Obispo, CA 93409-0001 | 2007-08-06 |
| 1568524130 | Elliot R Klaw | Internal Medicine | 689 Tank Farm Road, Suite 220, San Luis Obispo, CA 93401-7079 | 2006-12-13 |
| 1235291881 | David Oscar Javitz | Internal Medicine | 1250 Peach St Ste A, San Luis Obispo, CA 93401-2871 | 2006-12-13 |
| 1740367275 | Kourosh Bagheri, M.d., M.s., A Professional Corporation | Internal Medicine | 1177 Marsh St Ste 100, San Luis Obispo, CA 93401-2316 | 2006-11-01 |
| 1396768115 | Michael Steele | Internal Medicine | 1941 Johnson Ave Ste 204, San Luis Obispo, CA 93401-4159 | 2006-07-25 |
| 1710907274 | Gigi (none) Nickas | Internal Medicine | 1023 Nipomo St 110, San Luis Obispo, CA 93401-3882 | 2006-07-20 |
| Find all providers in SAN LUIS OBISPO | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
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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.