DR. JODY COREY-BLOOM (NPI# 1053400093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053400093 |
| Entity Type | Individual |
| Full Name | DR. JODY COREY-BLOOM |
| Credential | MD, PHD |
| Practice Address |
8950 Villa La Jolla Dr C129 La Jolla CA 92037-1714 |
| Practice Telephone | 8582461288 |
| Practice Fax Number | 8582461283 |
| Mailing Telephone | 8582461288 |
| Mailing Fax Number | 8582461283 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2016-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G062847 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G628470 | 05 | |
| CA | CALOPTIMA PROVIDER NUMBER | 00G628470C06 | 01 |
| CMS | 4845 | 01 | |
| RAILROAD MEDICARE | 130007027 | 01 |
| Street Address |
8950 VILLA LA JOLLA DR C129 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831184183 | James Alan Carter | Psychologist | 8950 Villa La Jolla Dr, Suite C113, La Jolla, CA 92037-1714 | 2005-09-13 |
| 1710523543 | Jessica Tripp | Psychologist | 8950 Villa La Jolla Dr, Ste A220, La Jolla, CA 92037-1711 | 2019-11-27 |
| 1841724952 | Aculife, Inc. | Acupuncturist | 8950 Villa La Jolla Dr, Suite B212, La Jolla, CA 92037-1714 | 2017-04-14 |
| 1780120287 | Emily Edmonds | Psychologist | 8950 Villa La Jolla Dr, Suite C207, La Jolla, CA 92037-1714 | 2017-01-09 |
| 1184166282 | Adam Silberman | Naturopath | 8950 Villa La Jolla Dr, Suite #a107, La Jolla, CA 92037-1714 | 2016-11-07 |
| 1801347547 | Mariel Gallet | Acupuncturist | 8950 Villa La Jolla Dr, B212, La Jolla, CA 92037-1714 | 2016-10-18 |
| 1295181352 | Lynda Carter | Acupuncturist | 8950 Villa La Jolla Dr, Suite B-129, La Jolla, CA 92037-1714 | 2016-05-09 |
| 1699137703 | Melissa Minger Dmd Inc | Durable Medical Equipment & Medical Supplies | 8950 Villa La Jolla Dr, Suite A-105, La Jolla, CA 92037-1714 | 2016-03-28 |
| 1174983027 | April Beth L'heureux | Marriage & Family Therapist | 8950 Villa La Jolla Dr, #b206-2, La Jolla, CA 92037-1714 | 2016-03-03 |
| 1871960070 | Allergy and Acupuncture Center | Acupuncturist | 8950 Villa La Jolla Dr, Suite C117, La Jolla, CA 92037-1714 | 2015-08-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013395151 | Elizabeth Ann Murphy | Psychiatry & Neurology | Uc San Diego Center for Brain Health, 9444 Medical Center Dr, La Jolla, CA 92037 | 2015-05-08 |
| 1245598481 | Michelle Ubels Van Noord | Psychiatry & Neurology | 10666 N Torrey Pines Rd # Ms -313, La Jolla, CA 92037-1027 | 2012-04-25 |
| 1245529056 | Robert Jospeh Claycomb | Psychiatry & Neurology | 10666 N Torrey Pines Rd # Ms 313, La Jolla, CA 92037-1027 | 2011-04-01 |
| 1518136241 | Flagstaff Neurology | Psychiatry & Neurology | 4275 Executive Sq Ste 200, La Jolla, CA 92037-1476 | 2008-02-27 |
| 1437259520 | Jonathan Albert Schleimer | Psychiatry & Neurology | 9850 Genesee Ave Ste 750, La Jolla, CA 92037-1232 | 2006-09-25 |
| 1730110529 | Amy Christine Almaraz Nielsen | Psychiatry & Neurology | 9850 Genesee Ave Ste 470, La Jolla, CA 92037-1228 | 2006-07-06 |
| 1801832522 | Bradley J. Schnierow | Psychiatry & Neurology | 9834 Genesee Avenue, Suite 112, La Jolla, CA 92037 | 2006-06-21 |
| 1942291729 | Fatta B Nahab | Psychiatry & Neurology | 9452 Medical Center Dr Ste 2w-112, La Jolla, CA 92037-1337 | 2005-11-02 |
| 1114271665 | Southern California Neurology and Psychiatry | Psychiatry & Neurology | 4275 Executive Sq Ste 200, La Jolla, CA 92037-1476 | 2012-11-06 |
| 1093074122 | Kunal Agrawal | Psychiatry & Neurology | 9444 Medical Center Dr, La Jolla, CA 92093-0979 | 2012-05-09 |
| Find all providers in LA JOLLA | ||||
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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.