Active NPI
Lauren T Bloom, AU.D.
- Audiologist
- Palo Alto, CA
National Provider Identifier
1578088613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3216
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- Aug 10, 2017
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3216 | CA | Primary |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
1035 Grayson St
Berkeley, CA 94710-2642
Phone (510) 848-4800
Other practice location 1
1035 Grayson Street
Berkeley, CA 94710
Phone (510) 848-4800 ext. 310
Other practice location 2
3800 Coolidge Ave
Oakland, CA 94602-3311
Phone (510) 848-4800 ext. 310
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3216 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients | |
| Center for Early Intervention on Deafness | Audiologist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Berkeley, CA
- NPI 1942236633
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1578088613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 GRAYSON ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947102642",
"telephone_number": "510-848-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "1035 GRAYSON STREET",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "94710",
"country_code": "US",
"telephone_number": "510-848-4800 x310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 Coolidge Ave",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946023311",
"country_code": "US",
"telephone_number": "510-848-4800 x310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLOOM",
"first_name": "LAUREN",
"middle_name": "T",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-10",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "3216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.