Alec Bloom
Individual provider Active NPI Emergency Medicine Physician · Monterey, CA
NPI 1821626243 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1821626243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 20881 (CA)
- Practice address
- 23625 Holman Hwy
Monterey, CA 93940-5902 - Phone
- (831) 624-5311
- NPI assigned
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - California
Monterey Bay Observation Medicine
Community Hospital of the Monterey Peninsula
Practice addresses (Care Compare)
1441 Constitution Blvd
Salinas, CA 93906-3100
Phone (831) 755-4111
23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 625-4900
Hospital & facility affiliations
- Community Hospital of the Monterey Peninsula
- Natividad Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230804000970 | CA | Practitioner - Emergency Medicine | 4385066919 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20881 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current |
Accepting new patients |
| Community Hospital of the Monterey Peninsula | Current |
Accepting new patients | |
| Community Hospital of the Monterey Peninsula | Current |
Accepting new patients | |
| Monterey Bay Observation Medicine | Emergency Medicine | Current |
Accepting new patients |
| Cep America-California | Emergency Medicine | Current |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 20881 | CA | Yes |
Addresses
Primary practice location
23625 Holman Hwy
Monterey, CA 93940-5902
Mailing address
119 Oakfield Dr
Brandon, FL 33511-5779
Other practice location 1
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 916-2347
Other providers in Monterey, CA
- David E. Blasband
- Marshal Alan Blatt
- Rodney Marcel Bledsoe
- Rikke Skov Blessing
- Roxana D. Bloch
- Ruben Blot
- Marian Blum
- Martha Lewis Blum
- Lorraine Christie Blumenthal
- Blynn L Shideler MD PC
All providers in Monterey, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.