Bloom Obstetrics and Gynecology, Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20A12852 Issued in CA

Legal business name

BLOOM OBSTETRICS AND GYNECOLOGY, INC

Practice address

18555 Ventura Blvd
Suite C
Tarzana, CA 91356-4192

Phone

(209) 613-2927

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Neetu Khurana Sodhi, D.O.NPI 1699053447

Title

President

Phone

(818) 723-9153

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Neetu Khurana Sodhi, D.O., M.P.H.

  • Obstetrics & Gynecology Physician
  • Tarzana, CA
  • NPI 1699053447
  Medicare reassignment Authorized official
• Brenda Margaret McAlpin, PA-C

  • Physician Assistant
  • Simi Valley, CA
  • NPI 1114517745
  NPD (past)

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1730639683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18555 VENTURA BLVD",
            "address_2": "SUITE C",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18555 VENTURA BLVD",
            "address_2": "SUITE C",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564192",
            "telephone_number": "209-613-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM OBSTETRICS AND GYNECOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "SODHI",
        "authorized_official_first_name": "NEETU",
        "authorized_official_middle_name": "KHURANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-723-9153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A12852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Suzanne Bland
• BLC Gardens-Tarzana, L.P.
• Rachel Leigh Bleau
• Blessed Recovery Centers LLC
• Scott Blockland, PSS
• Timothy Bloom
• Chaim Laeb Blum
• Michael R. Blum, M.D.
• Blvd Home Health Care Inc.
• Blvd Hospice Care Inc.

• Obstetrics & Gynecology Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.