EDWARD E. BLOOM


Address: 10800 Magnolia Ave, Riverside, CA 92505-3043
Phone: 9093532000

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).

Provider Overview

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

Taxonomy

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

Other Providers EDWARD BLOOM

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

Office Location

Street Address 10800 MAGNOLIA AVE
City RIVERSIDE
State CA
Zip Code 92505-3043

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207YX0007X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Plastic Surgery within the Head & Neck

Taxonomy Definition

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)

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City RIVERSIDE
Zip Code 92505

Improve Information

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Dataset Information

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.

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