Organization Active NPI

Bloom Acupuncture & Fertility

  • Acupuncturist
  • San Diego, CA
National Provider Identifier
1235935941
Registry record updated Feb 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BLOOM ACUPUNCTURE & FERTILITY
Practice address
2525 Camino del Rio S Ste 225
San Diego, CA 92108-3775
Phone
(619) 339-5225
Fax
(619) 775-1838
NPI assigned
Feb 22, 2025
Last updated
Feb 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2025

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

Authorized official

Name
Dr. Tamara Roe, DACHMNPI 1598064057
Title
Owner
Phone
(619) 324-3666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

2525 Camino del Rio S Ste 225
San Diego, CA 92108-3775

Mailing address

2525 Camino del Rio S Ste 225
San Diego, CA 92108-3775
Phone (619) 339-5225

National Provider Directory

National Provider Directory

Locations

2525 Camino del Rio S
Ste 225
San Diego, CA 92108
Phone (619) 324-3666

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740182400000",
    "number": "1235935941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083775",
            "telephone_number": "619-339-5225",
            "fax_number": "619-775-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S STE 225",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083775",
            "telephone_number": "619-339-5225",
            "fax_number": "619-775-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM ACUPUNCTURE & FERTILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-324-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DACHM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.