Bloom Wellness Clinics, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BLOOM WELLNESS CLINICS, LLC

Practice address

9755 N 90TH St Ste B295
Scottsdale, AZ 85258-5071

Phone

(480) 707-9050

Fax

(602) 429-8540

NPI assigned

Aug 14, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Perez

Title

Office Manager

Phone

(480) 707-9050

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1629800107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 N 90TH ST STE B295",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585071",
            "telephone_number": "480-707-9050",
            "fax_number": "602-429-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 N 90TH ST STE B295",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585071",
            "telephone_number": "480-707-9050",
            "fax_number": "602-429-8540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20950 N Tatum Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504255",
            "country_code": "US",
            "telephone_number": "480-707-9050",
            "fax_number": "602-429-8540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOOM WELLNESS CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "480-707-9050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Bloch
• Allan M Block, M.D.
• Kristina B. Blohm, M.D.
• Blood Systems Inc.
• Bloom Reproductive Institute, PLLC
• Barbara M Bloom, MS, CCC-SLP
• Charina A Bloomenstein, PT
• Marc Bloomenstein, OD
• Mindi G Bloomenstein, PT
• Rainey Little Bloomquist, DNP

• Primary Care Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.