Gregory a. Bloom

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC22289 Issued in CA

Legal business name

GREGORY A. BLOOM

Doing business as

Valley Springs Chiropractic

Practice address

23 Laurel St
Valley Springs, CA 95252-8797

Phone

(209) 772-2204

Fax

(866) 268-9062

NPI assigned

Apr 1, 2011

Organization subpart

No

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

Authorized official

Name

Gregory A Bloom, DC

Title

Chiropractor/Owner

Phone

(209) 772-2204

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Valley Springs Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1932498623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 LAUREL ST",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952528797",
            "telephone_number": "209-772-2204",
            "fax_number": "866-268-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 LAUREL ST",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952528797",
            "telephone_number": "209-772-2204",
            "fax_number": "866-268-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A. BLOOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "209-772-2204",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DC0222863",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Springs Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Benedicto M Estoesta, M.D.
• Debra Ann Fazio
• Rosa Garcia-Lopez
• Gold Country Therapies, Inc
• James P Green, DDS
• Sarah Hall, CPM
• Janet C Helfer, PT
• Breanna Herron, LMFT
• Katalina Alexis Hobson, CRNA
• Margaret M. Hodgson, MS, CCC-SLP

• Chiropractor in Valley Springs, CA
• Providers in Valley Springs, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.