Active NPI
Michele Marjorie Bloomer, M.D.
- Ophthalmology Physician
- Piedmont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A72716
- Practice address
- 461 Scenic Ave
Piedmont, CA 94611-3420 - Phone
- (415) 476-3705
- Fax
- (415) 476-3511
- NPI assigned
- Sep 17, 2006
- Last updated
- Jan 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A72716 | CA | Primary |
Addresses
Primary practice location
461 Scenic Ave
Piedmont, CA 94611-3420
Mailing address
University of California San Francisco
10 Koret Way, RM K220, Box 0730
San Francisco, CA 94143-0001
Phone (415) 476-3705
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.01 of 100
- Quality
- 86.78
- Improvement activities
- 40
- Cost
- 70.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72716 | CA | MD | Marriage & Family Therapist |
| A72716 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Ophthalmology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| University of California SFGH Medical Group | Ophthalmology | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| Eyecare Associates of San Francisco, a Medical Group, Inc. | Ophthalmology | Past | Accepting new patients |
| Kevin Tan, MD and Productions, Inc | Ophthalmology | Past | Accepting new patients |
Locations
10 Koret Way
Rm K220
San Francisco, CA 94143
1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305
1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
533 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-7192
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCSF Dept of Medicine General Medicine
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Ophthalmology
-
dba UCSF Pediatrics Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
dba UCSF SFGH Medical Group Dept of Anesthesia
- Anesthesiology Physician
- San Francisco, CA
- NPI 1366417420
-
dba UCSF Orthotic and Prosthetic Center - Gateway Medical Building
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
dba UCSF Medical Center
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
dba UCSF Outpatient Pharmacy at Parnassus
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
dba UCSF SFGH Medical Group Division of Vascular Surgery
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
-
dba UCSF SFGH Medical Group Dept of Ophthalmology
- Ophthalmology Physician
- San Francisco, CA
- NPI 1770558827
-
- Ophthalmology Physician
- San Francisco, CA
- NPI 1578669560
-
dba Eyecare Associates of San Francisco
- Ophthalmology Physician
- San Francisco, CA
- NPI 1659752319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1972600666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF CALIFORNIA SAN FRANCISCO",
"address_2": "10 KORET WAY, RM K220, BOX 0730",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941430001",
"telephone_number": "415-476-3705",
"fax_number": "415-476-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 SCENIC AVE",
"city": "PIEDMONT",
"state": "CA",
"postal_code": "946113420",
"telephone_number": "415-476-3705",
"fax_number": "415-476-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOMER",
"first_name": "MICHELE",
"middle_name": "MARJORIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A72716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Piedmont, CA
- Irene Lizette Bayardo, M.A.
- George James Benker, LCSW
- Alan Bernales, RDHAP
- Joshua Brian Bernstein, DDS
- Biometric Innovative Options Physical Therapy, Inc.
- Annie Tran Bozkurt, D.C.
- Katrin Renate Braune-Krickau, PHD
- Yolanda Evangaline Braxton, PSYD
- Anne B Brodzinsky, PH.D
- Susannette Burroughs, M.S. ED., BCMTB
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.