MICHAEL GARY BLOOM (NPI# 1821197591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821197591 |
Entity Type | Individual |
Full Name | MICHAEL GARY BLOOM |
Credential | MD |
Practice Address |
15243 Van Owen St #403 Van Nuys CA 91405 |
Practice Telephone | 8189888800 |
Practice Fax Number | 8189883416 |
Mailing Telephone | 8189888800 |
Mailing Fax Number | 8189883416 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | A23832 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A238320 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427397413 | Michael Bloom | Physical Therapist | 2438 Bowers St Nw, Uniontown, OH 44685-6653 | 2013-02-11 |
1366527780 | Michael Aaron Bloom | Dentist | 9928 N Government Way, Hayden, ID 83835-9604 | 2006-10-25 |
1790703700 | Michael David Bloom | Dentist | 316 Wesley Ave, Ocean City, NJ 08226-4039 | 2006-07-17 |
1538149893 | Michael Steven Bloom | Dentist | 4154 Hicksville Rd, Bethpage, NY 11714-6216 | 2006-01-20 |
1477530392 | Michael V Bloom | Psychologist | 7920 Kirkland Ct, Portage, MI 49024-4974 | 2005-12-30 |
1982606430 | Michael Bloom | Family Medicine | 8995 Main St, Clarence, NY 14031-1927 | 2005-08-15 |
1336594456 | Michael Allen Bloom II | Speech-Language Pathologist | 4150 Clement St # 126, San Francisco, CA 94121-1545 | 2016-04-26 |
1861611543 | Michael Lloyd Bloom | Dentist | 875 Park Ave, Suite 1e, New York, NY 10021-0341 | 2007-04-24 |
1710094503 | Michael M Bloom | Optometrist | 2625 Piedmont Rd Ne, Suite 36g, Atlanta, GA 30324-3086 | 2006-08-25 |
1639128689 | Michael Scott Bloom | Ophthalmology | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-05-08 |
Street Address |
15243 VAN OWEN ST #403 |
City | VAN NUYS |
State | CA |
Zip Code | 91405 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
Find all providers in zip 91405 |
Taxonomy Code | 204C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine, Sports Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114531837 | Resham Macfarlane | Neuromusculoskeletal Medicine, Sports Medicine | 3025 Dana St, Berkeley, CA 94705-2041 | 2020-08-31 |
1578065934 | Shae Nicole Morgan | Neuromusculoskeletal Medicine, Sports Medicine | 12891 Indiana Ave Unit 41, Riverside, CA 92503-4679 | 2018-03-01 |
1578843793 | Krista Senness Lund | Neuromusculoskeletal Medicine, Sports Medicine | 120 N Clovis Ave Bldg 65, Clovis, CA 93612-0303 | 2011-08-18 |
1851697809 | William James Meecham | Neuromusculoskeletal Medicine, Sports Medicine | 4280 Redwood Hwy Ste 4, San Rafael, CA 94903-2600 | 2011-02-08 |
1689980534 | Avon Day Manney | Neuromusculoskeletal Medicine, Sports Medicine | 5737 Thornhill Dr Ste 207b, Oakland, CA 94611-2144 | 2010-08-28 |
1104153113 | Orange County Medical Group, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 1211 W La Palma Ave Ste 709, Anaheim, CA 92801-2814 | 2009-11-11 |
1750614343 | Westwood Neurodiagnostic Center | Neuromusculoskeletal Medicine, Sports Medicine | 11022 Santa Monica Blvd Ste 310, Los Angeles, CA 90025-7558 | 2009-09-14 |
1922295344 | Wilshire Neuro-diagnostics | Neuromusculoskeletal Medicine, Sports Medicine | 237 S La Cienega Blvd, Beverly Hills, CA 90211-3301 | 2007-09-30 |
1699972042 | Giang-tuyet Nguyen Lam | Neuromusculoskeletal Medicine, Sports Medicine | 26001 Redlands Blvd, Physical Medicine Department, Redlands, CA 92373 | 2007-06-29 |
1760684757 | Carter Harrison Sigmon | Neuromusculoskeletal Medicine, Sports Medicine | 16089 San Dieguito Rd, H102, Rancho Santa Fe, CA 92067 | 2007-06-03 |
Find all providers with the same taxonomy |
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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.