KENNETH JOEL BLOOM (NPI# 1023399177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023399177 |
| Entity Type | Individual |
| Full Name | KENNETH JOEL BLOOM |
| Credential | M.D. |
| Practice Address |
31 Columbia Cps Aliso Viejo CA 92656-1460 |
| Practice Telephone | 9494255744 |
| Practice Fax Number | 9494255865 |
| Mailing Telephone | 9494255744 |
| Mailing Fax Number | 9494255865 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
G86592 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477536068 | Kenneth Edward Bloom | Dermatology | 1455 West Ave, Bronx, NY 10462-7304 | 2005-11-28 |
| 1326027087 | Kenneth Roland Bloom | Pediatrics | 4499 Medical Dr, Suite 272, San Antonio, TX 78229-3735 | 2006-01-11 |
| 1811983372 | Kenneth E Bloom | Podiatrist | 137 Professional Park Dr, Suite C, Mooresville, NC 28117-6540 | 2005-09-21 |
| Street Address |
31 COLUMBIA CPS |
| City | ALISO VIEJO |
| State | CA |
| Zip Code | 92656-1460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356308159 | Lawrence Martin Weiss | Pathology | 31 Columbia, Aliso Viejo, CA 92656-1460 | 2006-04-27 |
| 1952689242 | Vladislav Chizhevsky | Internal Medicine | 31 Columbia, Aliso Viejo, CA 92656-1460 | 2011-08-03 |
| 1891929931 | Jian-feng Wang | Pathology | 31 Columbia, Clarient Pathology Service, Aliso Viejo, CA 92656-1460 | 2009-05-04 |
| 1447437355 | Neogenomics Laboratories Inc | Clinical Medical Laboratory | 31 Columbia, Aliso Viejo, CA 92656 | 2008-01-23 |
| 1942496609 | Jennifer Marie Hummel | Pathology | 31 Columbia, Aliso Viejo, CA 92656-1460 | 2007-09-17 |
| 1174733059 | Renuka Agrawal | Pathology | 31 Columbia, Aliso Viejo, CA 92656-1460 | 2007-05-22 |
| 1740402841 | George Stephan Csathy | Pathology | 31 Columbia, Cps, Aliso Viejo, CA 92656-1460 | 2007-05-02 |
| 1508980137 | Sing-tsung Chen | Pathology | 31 Columbia, Aliso Viejo, CA 92656-1460 | 2007-03-19 |
| 1124057393 | Anselm Lu Sing Hii | Pathology | 31 Columbia, Aliso Viejo, CA 92656-1460 | 2006-07-01 |
| 1184681223 | Dennis Patrick O'malley | Pathology | 31 Columbia, Aliso Viejo, CA 92656-1460 | 2006-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818042 | Cynthia K Vu | Pharmacist | 5 Journey 140, Aliso Viejo, CA 92656 | 2020-07-15 |
| 1275175127 | Anavah Stephens | Student in an Organized Health Care Education/Training Program | 53 Southern Hills Dr, Aliso Viejo, CA 92656 | 2019-10-11 |
| 1427567288 | Rhonda Cheikh | Behavioral Analyst | 175 Woodcrest Ln, Aliso Viejo, CA 92656 | 2017-09-25 |
| 1407305253 | Iman Ashlee Habbas | Social Worker | 5 Mareblu # 100, Aliso Viejo, CA 92656 | 2016-09-21 |
| 1023463692 | Julie Lynn Vuksic | Dietitian, Registered | 34 Prairie Falcon, Aliso Viejo, CA 92656 | 2016-05-02 |
| 1326493396 | Allen Han | Acupuncturist | 1 Remington Lane, Aliso Viejo, CA 92656 | 2016-04-27 |
| 1588027288 | Shawn Kaye | Internal Medicine | 26671 Aliso Creek Rd Ste 206, Aliso Viejo, CA 92656 | 2016-03-30 |
| 1528464443 | Lauren Harness | Occupational Therapy Assistant | 2 Enterprise Apt 11117, Aliso Viejo, CA 92656 | 2014-11-05 |
| 1700200417 | Cornel Crasnean Dds | Dentist | 26888 B South La Paz Road, Aliso Viejo, CA 92656 | 2014-02-17 |
| 1215350467 | Reza M. Birjandi D.d.s.,a Professional Dental Corporation | Dentist | 15 Mareblu Suite 360, Aliso Viejo, CA 92656 | 2014-01-23 |
| Find all providers in zip 92656 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356308159 | Lawrence Martin Weiss | Pathology | 31 Columbia, Aliso Viejo, CA 92656-1460 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385468 | Alfred Lui, M. D., Inc. | Pathology | 23441 Madison St Ste 301b, Torrance, CA 90505-4735 | 2020-08-05 |
| 1174176697 | Francisco Beca | Pathology | 300 Pasteur Dr Bldg 235, Stanford, CA 94305-2200 | 2019-07-23 |
| 1851852750 | Steffan Nicholas Ho | Pathology | 3014 Award Row, San Diego, CA 92122-2231 | 2019-03-26 |
| 1841776358 | Shuo Xu | Pathology | 8700 Beverly Blvd Rm 8725, West Hollywood, CA 90048-1804 | 2018-07-17 |
| 1619489242 | Ania Gheyara | Pathology | 16 Rich Acres Rd, Orinda, CA 94563-1618 | 2017-11-05 |
| 1407229305 | Melissa Conrad Stoppler | Pathology | 922 Aruba Ln, Foster City, CA 94404-3802 | 2015-11-02 |
| 1114303161 | Vincent Hess Stack | Pathology | 2732 Piedmont Ave. #1, Montrose, CA 91020 | 2015-07-31 |
| 1154716975 | Gregory William Charville | Pathology | 300 Pasteur Drive, Room L235, Stanford, CA 94022 | 2015-03-30 |
| 1861885295 | Kenneth Widder | Pathology | 16231 El Camino Real, Rancho Santa Fe, CA 92067 | 2015-03-10 |
| 1316342546 | Eugene Butcher | Pathology | 230 Corte Madera Rd, Portola Valley, CA 94028-7817 | 2014-10-30 |
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| City | ALISO VIEJO |
| Zip Code | 92656 |
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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.