Jeffrey Bloom D.o. Inc, Dba Back Bay Medical

NPI: 1538405220

Jeffrey Bloom D.o. Inc, Dba Back Bay Medical

Q: Where does Jeffrey Bloom D.o. Inc, Dba Back Bay Medical practice?

Jeffrey Bloom D.o. Inc, Dba Back Bay Medical practices in Newport Beach, CA 92660-1733.

Q: What is Jeffrey Bloom D.o. Inc, Dba Back Bay Medical's provider type?

Jeffrey Bloom D.o. Inc, Dba Back Bay Medical is an Organization under CMS NPI Type 2.

ActiveOrganizationFamily Medicine

NPI issued: December 27, 2012

Quick Facts

NPI Number

1538405220

TypeOrganization

StatusActive

SpecialtyFamily Medicine

Taxonomy207QS0010X — Family Medicine

Phone

(949) 263-1242

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1538405220)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (December 27, 2012)

Data source: CMS NPPES

Provider Overview

JEFFREY BLOOM D.O. INC, DBA BACK BAY MEDICAL is a Family Medicine provider based in Newport Beach, CA who has been registered with CMS since 2012. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1538405220

Provider TypeOrganization

StatusActive

Enumeration DateDecember 27, 2012

Practice Location

CityNewport Beach

StateCA

ZIP Code92660-1733

Phone(949) 263-1242

Specialties & Licenses

★ Primary

SpecialtyFamily Medicine

Taxonomy Code207QS0010X

License StateCA

Mailing Address

CityNewport Beach

StateCA

ZIP Code92660-1733

Phone(949) 263-1242

Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1538405220 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1538405220for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1538405220 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

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