Organization Active NPI

Bloom Within Collective LLC

  • Clinical Social Worker
  • Irvine, CA
National Provider Identifier
1417812223
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLOOM WITHIN COLLECTIVE LLC
Practice address
4 Venture Ste 355
Irvine, CA 92618-7369
Phone
(949) 306-3026
NPI assigned
Dec 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Bahareh Saidian, LCSWNPI 1144236936
Title
Authorized Official
Phone
(949) 306-3026

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4 Venture Ste 355
Irvine, CA 92618-7369

Mailing address

24443 Borrego Cir
Corona, CA 92883-5159
Phone (949) 306-3026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260312000870 CA Part B Supplier - Clinic/Group Practice 7719460351 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA; Corona, CA

National Provider Directory

National Provider Directory

Locations

4 Venture
Ste 355
Irvine, CA 92618
Phone (949) 306-3026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1417812223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24443 BORREGO CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928835159",
            "telephone_number": "949-306-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VENTURE STE 355",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187369",
            "telephone_number": "949-306-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM WITHIN COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "SAIDIAN",
        "authorized_official_first_name": "BAHAREH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "949-306-3026",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.