John Pierre Bloomstine

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

550 Quarry Rd
San Carlos, CA 94070-6221

Phone

(650) 802-6485

Fax

(650) 596-5162

NPI assigned

Jun 17, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1124349717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 QUARRY RD",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706221",
            "telephone_number": "650-802-6485",
            "fax_number": "650-596-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 QUARRY RD",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940706221",
            "telephone_number": "650-802-6485",
            "fax_number": "650-596-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMSTINE",
        "first_name": "JOHN",
        "middle_name": "PIERRE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarise Blanchard, PH.D.
• Geoffrey Blanton
• Justine Courtney Bleeker, AMFT
• Christy Aleene Blevins, PH.D.
• Blooming Stars Therapy
• Renee Eloise Boeche, D.O.
• Aidan Boese
• Nikhil Boga, DPM
• John A Boghossian, DDS
• Bryant Bernard Bolling, M.A.

• Specialist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.