Jonathan Joseph Bloom

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

JONB22 Issued in CA

Practice address

700 Airport Blvd
Burlingame, CA 94010-1908

Phone

(650) 517-8220

NPI assigned

May 11, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Edgewood Center for Children and Families

  • Community/Behavioral Health Agency
  • Burlingame, CA
  • NPI 1013389725
  NPD (past)

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1295425320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 AIRPORT BLVD STE 490&495",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 AIRPORT BLVD",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101908",
            "telephone_number": "650-517-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "JONATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "JONB22",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashshana Blackwood
• Jonathan Paul Blakeslee
• Stewart Blandon, M.D.
• Diana Nicole Blank, LCSW
• Thomas Bleker V
• Dominic Bobila
• Benjamin Boblett, M.D.
• Anika Anil Bockman, LMFT
• Sweta Bodepudi, MD
• Sami H Bogale, M.D.

• Clinical Social Worker in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.