Individual provider Active NPI

David Isaac Bloomberg, OD

  • Optometrist
  • Poway, CA
National Provider Identifier
1952400939
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12268T Issued in CA
Practice address
13035 Pomerado Rd
Suite C
Poway, CA 92064-4247
Phone
(858) 486-7609
Fax
(858) 486-7659
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12268T CA Primary

Addresses

Primary practice location

13035 Pomerado Rd
Suite C
Poway, CA 92064-4247

Mailing address

13035 Pomerado Rd
Suite C
Poway, CA 92064-4247
Phone (858) 486-7609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000920 CA Practitioner - Optometry 8224058151 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Poway, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bradley W Greider M D IncGroup PAC ID 2062432982, 11 clinicians

Practice addresses (Care Compare)

2067 W Vista Way
Suite 120
Vista, CA 92083-6032
Phone (760) 758-2020

Merit-based Incentive Payment System (MIPS)

Final score
94.09 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12268CAMDProfessional Counselor
12268TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David I Bloomberg,OD, a Professional Corporation Optometrist Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1952400939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 POMERADO RD",
            "address_2": "SUITE C",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644247",
            "telephone_number": "858-486-7609",
            "fax_number": "858-486-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 POMERADO RD",
            "address_2": "SUITE C",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644247",
            "telephone_number": "858-486-7609",
            "fax_number": "858-486-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOMBERG",
        "first_name": "DAVID",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12268T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.