DAVID R BLOOM M.D.
NPI 1417005737
Family Medicine - Sports Medicine in Huntington Beach, CA

Q: What is David Bloom's NPI number?

The NPI number for David Bloom is 1417005737. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Q: What is David Bloom's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for David Bloom was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment

17822 BEACH BLVD, #325, HUNTINGTON BEACH, CA 92647(714) 843-6550(714) 843-6560 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About David R Bloom M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID R BLOOM M.D. (NPI 1417005737) is an individual sports medicine provider in Huntington Beach, California, licensed in California (G069614) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (1989).

NPPES Registry Identity

NPI1417005737

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDAVID R BLOOMCredential: M.D.

Location Address17822 BEACH BLVD, #325Huntington Beach, CA 92647

Mailing Address17822 Beach Blvd, #325Huntington Beach, CA 92647-7101 · (714) 843-6550 · Fax (714) 843-6560

Phone(714) 843-6550

Fax(714) 843-6560

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1989

Enumeration DateJanuary 5, 2007

Last NPPES UpdateJuly 17, 2018

✔ NPI 1417005737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in CA · G069614

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

17822 BEACH BLVD, Huntington Beach, CA 92647

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David R Bloom M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436346749

PECOS Enrollment IDI20101213001031, I20250924002472

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH F CHOW M.D., INC.

Clinic/Center (Medical Specialty)

17822 BEACH BLVD, SUITE 468
HUNTINGTON BEACH, CA 92647

Orange County (714) 841-8818

RICHARD B MANTELL MD INC

Dermatology

17822 BEACH BLVD, SUITE 301
HUNTINGTON BEACH, CA 92647

Orange County (714) 794-6981

ANDRE VERESS MD

Family Medicine

17822 BEACH BLVD, SUIT 473
HUNTINGTON BEACH, CA 92647

Orange County (714) 842-5589

PROACTIVE CARE NURSING, INC

Nurse Practitioner (Adult Health)

17822 BEACH BLVD, SUITE 400
HUNTINGTON BEACH, CA 92647

Orange County (714) 332-7016

CHINGFONG CHIN M.D.

Internal Medicine (Cardiovascular Disease)

17822 BEACH BLVD, STE 252
HUNTINGTON BEACH, CA 92647

Orange County (714) 843-5770

VAN H VU M.D.

Anesthesiology (Pain Medicine)

17822 BEACH BLVD, SUITE 100
HUNTINGTON BEACH, CA 92647

Orange County (714) 848-9100

SHERRY DO N.P.

Nurse Practitioner

17822 BEACH BLVD, SUITE 400
HUNTINGTON BEACH, CA 92647

Orange County (714) 332-7016

MR. JOSEPH NASSIR MD

Internal Medicine

17822 BEACH BLVD, #430
HUNTINGTON BEACH, CA 92647

Orange County (714) 843-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Bloom's NPI number?

The NPI number for David Bloom is 1417005737. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is David Bloom located?

David Bloom practices at 17822 Beach Blvd #325, Huntington Beach, CA 92647. The listed phone number is (714) 843-6550.

What is David Bloom's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is David Bloom enrolled in Medicare?

Yes. David Bloom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Bloom was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.