Stephanie R. Bloom, M. D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G72493 Issued in CA

Practice address

UCSF Medical Center Childrens Hospital
400 Parnassus Avenue 2ND Floor
San Francisco, CA 94143-0374

Phone

(415) 353-2000

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• UCSF Pediatrics Associates

  • Pediatrics Physician
  • San Francisco, CA
  • NPI 1376614016
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679799761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCSF MEDICAL CENTER CHILDRENS HOSPITAL",
            "address_2": "400 PARNASSUS AVENUE 2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430374",
            "telephone_number": "415-353-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSF MEDICAL CENTER CHILDRENS HOSPITAL",
            "address_2": "400 PARNASSUS AVENUE 2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941430374",
            "telephone_number": "415-353-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOM",
        "first_name": "STEPHANIE",
        "middle_name": "R.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G72493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G724930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan D Bloom, M.D.
• Howard R. Bloom, MD
• Jacqueline Bloom, LCSW, PH.D.
• Melissa Marie Bloom, PHD
• Michael Allen Bloom II, MS
• Jessica Bloome, M.D.
• Bloomlife Inc
• Ann Elizabeth Bloor
• Jocelyn Janine Blore
• Blossom Ridge Health, LLC

• Pediatrics Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.