Bloom Pediatric Therapy PC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

BLOOM PEDIATRIC THERAPY PC

Practice address

13211 Myford Rd Apt 1011
Tustin, CA 92782-9170

Phone

(949) 533-8545

NPI assigned

Sep 19, 2026

Last updated

Sep 19, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa Suarez, OTR/L

Title

President

Phone

(949) 294-8069

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789776000000",
    "number": "1427960921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13211 MYFORD RD APT 1011",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13211 MYFORD RD APT 1011",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927829170",
            "telephone_number": "949-533-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM PEDIATRIC THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-19",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-294-8069",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Tustin, CA
• Providers in Tustin, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.