Individual provider Active NPI

Peter James Bloomfield, M.D.

  • Emergency Medicine Physician
  • Manhattan Beach, CA
National Provider Identifier
1053424713
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A92877 Issued in CA
Practice address
229 16TH St
Manhattan Beach, CA 90266-4618
Phone
(310) 218-7002
NPI assigned
Aug 16, 2006
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A92877 CA Primary

Addresses

Primary practice location

229 16TH St
Manhattan Beach, CA 90266-4618

Mailing address

229 16TH St
Manhattan Beach, CA 90266-4618

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070123000139 CA Practitioner - Emergency Medicine 9830190677 Reassigns benefits to 2 organizations
I20150813011611 NM Practitioner - Emergency Medicine 9830190677 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92877CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 31, 2020 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Nov 1, 2009 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Nov 1, 2009 Accepting new patients
Los Alamos Emergency Medical Associates Inc Emergency Medicine CurrentSince Jun 14, 2015 Accepting new patients
Southwest Emergency Medical Associates of NM PC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 31, 2020 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9333 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 461-3184

751 Medical Center Ct
#1182
Chula Vista, CA 91911

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

9333 Imperial Hwy
Downey, CA 90242
Phone (562) 657-8850

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1053424713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 16TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 16TH ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902664618",
            "telephone_number": "310-218-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMFIELD",
        "first_name": "PETER",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A92877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9333 Imperial Hwy",
            "city": "Downey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902422812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manhattan Beach, CA

Sources for this page

Verify at the official NPI Registry.