Active NPI
Jessica Bloemer
- Occupational Therapist
- Torrance, CA
National Provider Identifier
1407529761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 22571
- Practice address
- 1815 W 213TH St Ste 100
Torrance, CA 90501-2852 - Phone
- (310) 328-0276
- NPI assigned
- Jul 30, 2021
- Last updated
- Jul 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22571 | CA | Primary |
Addresses
Primary practice location
1815 W 213TH St Ste 100
Torrance, CA 90501-2852
Mailing address
2664 E 220TH PL
Long Beach, CA 90810-1814
Phone (513) 633-4367
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22571 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1407529761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2664 E 220TH PL",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101814",
"telephone_number": "513-633-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 W 213TH ST STE 100",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905012852",
"telephone_number": "310-328-0276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOEMER",
"first_name": "JESSICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-30",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "22571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.