NPIMap

Organization Active NPI

Matthew L Bloom DO PC

  • Physical Medicine & Rehabilitation Physician
  • Ventura, CA
National Provider Identifier
1356957047
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MATTHEW L BLOOM DO PC
Practice address
1280 S Victoria Ave Ste 250
Ventura, CA 93003-6521
Phone
(805) 351-0745
Fax
(805) 288-6744
NPI assigned
Sep 18, 2020
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Dr. Matthew Lee Bloom, DONPI 1801273305
Title
Owner
Phone
(805) 351-0745

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Physical Medicine & Rehabilitation Physician 208100000X NU Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU

Addresses

Primary practice location

1280 S Victoria Ave Ste 250
Ventura, CA 93003-6521

Mailing address

1280 S Victoria Ave Ste 250
Ventura, CA 93003-6521
Phone (805) 351-0745

Other practice location 1

625 N A Street
Oxnard, CA 93030-4907
Phone (805) 351-0745

Other names 1

  • Matthew L. Bloom, D.O., PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201005000504 CA Part B Supplier - Clinic/Group Practice 9931528304 Receives reassigned benefits from 5 practitioners
Practice locations: Camarillo, CA; Oxnard, CA; Ventura, CA; Woodland Hills, CA

National Provider Directory

National Provider Directory

Locations

2221 Wankel Way
Oxnard, CA 93030
Phone (805) 988-9366

Practitioners & affiliated clinicians

Practitioners 12

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": "1600387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1356957047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE STE 250",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036521",
            "telephone_number": "805-351-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE STE 250",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036521",
            "telephone_number": "805-351-0745",
            "fax_number": "805-288-6744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 N A Street",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930304907",
            "country_code": "US",
            "telephone_number": "805-351-0745",
            "fax_number": "805-288-6744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MATTHEW L BLOOM DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-18",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-351-0745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew L. Bloom, D.O., PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Matthew L. Bloom, D.O., PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.