David Marshall Bloom, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G29631 Issued in CA

Practice address

2841 Lomita Blvd
Suite 215
Torrance, CA 90505-5116

Phone

(310) 379-2860

Fax

(310) 345-1144

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: dmb102pcs@m566.primeclinicalsystems.direct-ci.com

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1356344683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 SKYPARK DR",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055004",
            "telephone_number": "310-325-4517",
            "fax_number": "310-325-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 LOMITA BLVD",
            "address_2": "SUITE 215",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055116",
            "telephone_number": "310-379-2860",
            "fax_number": "310-345-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "DAVID",
        "middle_name": "MARSHALL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G29631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bliss Medical Group, P.C.
• Michael Bloch, D.P.M.
• Alexandra Laird Block, M.A., CCC-SLP
• Maya Block
• Jessica Bloemer
• Krystle Michelle Bloom, PSYD
• Ciara Bloomenstein
• Denise Anderson Bloomfield
• Blue Iris Home Health, Inc.
• Blue Water Enterprises, Inc.

• Nephrology Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.