Mary Bloomer, RN, CNOR, CNIM

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

041813 Issued in CA

Practice address

11121 Sun Center Dr
Suite G
Rancho Cordova, CA 95670-6161

Phone

(916) 631-0112

Fax

(916) 631-1652

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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

• Quantum Neuromonitoring Corporation

  • Neurology Physician
  • Rancho Cordova, CA
  • NPI 1790083723
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1184846362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 SUN CENTER DR",
            "address_2": "SUITE G",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706161",
            "telephone_number": "916-631-0112",
            "fax_number": "916-631-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 SUN CENTER DR",
            "address_2": "SUITE G",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706161",
            "telephone_number": "916-631-0112",
            "fax_number": "916-631-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMER",
        "first_name": "MARY",
        "credential": "RN, CNOR, CNIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "459323",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "041813",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CA",
            "license": "525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Fred Bishop, M.D.
• Jessica Biskner
• Leziya Blackledge
• Cory Ryan Blakeslee
• Chelsea Jo Blevins
• Blue Angels Trans LLC
• Joelle Viviane Bobrowsky
• Deirdre Bodenhamer, PA-C
• Grant Edwin Boice, DDS
• Julie Ann Boizot

• Medical-Surgical Registered Nurse in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• Medical-Surgical Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.