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AMANDA BLOOM PA-C
NPI 1417980681
Physician Assistant in Oakland, CA

Active since July 09, 2006
3124 INTERNATIONAL BLVD, SUITE 200, OAKLAND, CA 94601(510) 535-4400 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Amanda Bloom Pa-c NPPES

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

AMANDA BLOOM PA-C (NPI 1417980681) is an individual physician assistant in Oakland, California, licensed in California (PA12532) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1417980681
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA BLOOMCredential: PA-C
Location Address3124 INTERNATIONAL BLVD, SUITE 200Oakland, CA 94601-2902
Mailing Address3124 International Blvd, Suite 200Oakland, CA 94601-2902
Phone(510) 535-4400
Sole ProprietorNo
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1417980681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA12532
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3124 INTERNATIONAL BLVD, Oakland, CA 94601
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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.

MISS ATZIRI RODRIGUEZ
Emergency Medical Technician, Basic
3124 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4400
JENNIFER CARMEN HERNANDEZ
Case Manager/Care Coordinator
3124 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 434-5300
BRENDA LANDEROS
Health Educator
3124 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 636-4210
BRENDA YAMILEX VASQUEZ
Community Health Worker
3124 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 434-4400
MR. FREDERICO RAMIREZ LCSW
Social Worker (Clinical)
3124 INTERNATIONAL BLVD, 4TH FLOOR
OAKLAND, CA 94601
Alameda County (510) 434-5439
MISS TAHNEE CAMACHO
Community Health Worker
3124 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 434-5421
MS. SNEHAL ASHOK SHAH M.A.
Psychologist (Clinical)
3124 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 434-5425
JOSEPH MARIO GONZALEZ LCSW
Social Worker (Clinical)
3124 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 434-5421

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 Amanda Bloom's NPI number?

The NPI number for Amanda Bloom is 1417980681. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Amanda Bloom located?

Amanda Bloom practices at 3124 International Blvd Suite 200, Oakland, CA 94601. The listed phone number is (510) 535-4400.

What is Amanda Bloom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Amanda Bloom was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.