EDWARD E. BLOOM (NPI# 1134288897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134288897 |
Entity Type | Individual |
Full Name | EDWARD E. BLOOM |
Credential | MD |
Practice Address |
10800 Magnolia Ave Riverside CA 92505-3043 |
Practice Telephone | 9093532000 |
Mailing Telephone | 9093532000 |
Enumeration Date | 2006-12-08 |
Last Update Date | 2008-09-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
A20554 | CA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740561679 | Edward J Bloom | Physical Therapist | 80 Health Park Dr, Suite 230, Louisville, CO 80027-9584 | 2011-09-06 |
1720034838 | Edward W. Bloom | Family Medicine | 3500 Orchard Pl, Bellingham, WA 98225-1749 | 2006-05-26 |
Street Address |
10800 MAGNOLIA AVE |
City | RIVERSIDE |
State | CA |
Zip Code | 92505-3043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457352783 | Patrick Joseph S Alix | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2005-08-09 |
1306451885 | Tina Marsina Menedjian | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-09-11 |
1346859246 | Christina Marie Stephenson | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-07-27 |
1669095329 | Alvin Fong | Pharmacist | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-05-28 |
1114555810 | Michelle Eunbi Ko | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-29 |
1821625062 | Christopher Mark Bradburne | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-26 |
1740817659 | Lauren Khan | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-23 |
1841826781 | Jessica Sherly Gurning | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-22 |
1912533852 | Robert Yousif | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-22 |
1770119323 | Erika Layne | Dietitian, Registered | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2020-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
Find all providers in zip 92505 |
Taxonomy Code | 207YX0007X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Plastic Surgery within the Head & Neck |
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184971194 | Gabriel Gabarain | Otolaryngology | 4646 Brockton Ave Ste 201, Riverside, CA 92506 | 2012-08-08 |
1730187881 | Gary Mitchell Feinberg | Otolaryngology | 4646 Brockton Ave, Suite 201, Riverside, CA 92506 | 2005-07-12 |
1194145771 | Gary M. Feinberg Ent, Inc. | Otolaryngology | 4646 Brockton Ave, Suite 201, Riverside, CA 92506 | 2014-04-22 |
1679640403 | Richard G. Rajaratnam | Otolaryngology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
1922175843 | George Y. Liu | Otolaryngology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
1437226248 | Vishwas D. Tadwalkar | Otolaryngology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
1750458584 | Donald Perez | Otolaryngology | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2006-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770041881 | Robotic Brain and Spine Institute Inc | Otolaryngology | 9201 W Sunset Blvd Ste 405, Los Angeles, CA 90069-3705 | 2019-03-07 |
1447500269 | Esrafil Abedi Md A Professional Corporation | Otolaryngology | 23961 Calle Magdalena St, 430, Laguna Hills, CA 92653-3685 | 2012-09-19 |
1154636769 | Louis G. Brennan | Otolaryngology | 4 Leicester Ct, Laguna Niguel, CA 92677-9380 | 2010-08-09 |
1568783470 | Dana Kristopher Petersen | Otolaryngology | 1001 Potrero St, San Francisco General Hospital, San Francisco, CA 94110 | 2010-06-15 |
1275784233 | Stephen Wayne Hargett | Otolaryngology | 1200 North State St., Los Angeles, CA 90033 | 2008-10-08 |
1568664548 | Geoffrey Arthur Smith | Otolaryngology | 7910 Frost St # 420, San Diego, CA 92123-2771 | 2007-06-03 |
1831319326 | Shamit Chopra | Otolaryngology | 2521 Stockton Blvd Ste 7200, Sacramento, CA 95817-2207 | 2007-04-26 |
1194941641 | Ronaldo A Ballecer | Otolaryngology | 540 E Herndon Ave Ste 105, Suite 105, Fresno, CA 93720-2993 | 2007-04-17 |
1669515862 | Kaniff Cosmetic Medical Center, Inc | Otolaryngology | 631 Fulton Ave, Sacramento, CA 95825-4813 | 2007-02-15 |
1881742674 | Lynn J. Goodloe | Otolaryngology | 7230 Medical Center Dr Ste 302, West Hills, CA 91307-4032 | 2007-01-08 |
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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.