Bloomwell MD Medical Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLOOMWELL MD MEDICAL CORPORATION

Practice address

333 Sunset Ave Ste 110a
Suisun City, CA 94585-2003

Phone

(707) 753-2388

NPI assigned

Nov 19, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kaosoluchi Enendu, MDNPI 1184204695

Title

Ceo

Phone

(707) 753-2388

Specialties & licenses 2

Addresses

Other names 1

• BloomWell M.D. Other name

Locations

Practitioners 1

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

• Kaosoluchi Enendu, MD

  • Psychiatry Physician
  • Danville, PA
  • NPI 1184204695
  NPD Authorized official

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1952262016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SUNSET AVE STE 110A",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SUNSET AVE STE 110A",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852003",
            "telephone_number": "707-753-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMWELL MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "ENENDU",
        "authorized_official_first_name": "KAOSOLUCHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-753-2388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BloomWell M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maurice James Baker
• Jhimwhel Mae Benavidez Bardon
• Rocky Charles Baysa
• Crystal Benavides
• Christopher Bishop
• Quenika R Boston
• Jennifer Briscese
• Joash Bueno, RN
• Shemaiah Bush, RBT
• Arsenio Cabamongan Camarillo III

• Psychiatry Physician in Suisun City, CA
• Providers in Suisun City, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.