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JEFFREY BLOOM D.O. INC, DBA BACK BAY MEDICAL
NPI 1538405220
Family Medicine - Sports Medicine in Newport Beach, CA

Active since December 27, 2012
20311 SW ACACIA ST, #100, NEWPORT BEACH, CA 92660(949) 263-1242(949) 263-1280 Get Directions Write a Review

NPPES record last updated: December 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey Bloom D.o. Inc, Dba Back Bay Medical NPPES

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

JEFFREY BLOOM D.O. INC, DBA BACK BAY MEDICAL (NPI 1538405220) is a healthcare organization registered as a sports medicine in Newport Beach, California and active in the NPI registry since December 2012. The organization lists Jeffrey Howard Bloom, Owner, as its authorized official.

NPPES Registry Identity

NPI1538405220
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameJEFFREY BLOOM D.O. INC, DBA BACK BAY MEDICAL
Location Address20311 SW ACACIA ST, #100Newport Beach, CA 92660-1733
Mailing Address20311 Sw Acacia St, #100Newport Beach, CA 92660-1733 · (949) 263-1242 · Fax (949) 263-1280
Phone(949) 263-1242
Fax(949) 263-1280
Organization SubpartNo
Authorized OfficialJeffrey Howard BloomOwner · (949) 263-1242
Enumeration DateDecember 27, 2012
✔ NPI 1538405220 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 · 20A6397
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.
20311 SW ACACIA ST, Newport Beach, CA 92660
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

BACK BAY MEDICAL LLC
Clinic/Center (Radiology)
20311 SW ACACIA ST, SUITE 140
NEWPORT BEACH, CA 92660
Orange County (949) 756-8200
GREGORY A ROBERTSON MD A PROFESSIONAL MEDICAL CORPORATION
Internal Medicine
20311 SW ACACIA ST, STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 891-1441
DR. RUSSELL S. ALTERMAN D.O.
Internal Medicine
20311 SW ACACIA ST, SUITE 100
NEWPORT BEACH, CA 92660
Orange County (949) 250-4244
DR. JEFFREY HOWARD BLOOM D.O.
Family Medicine (Sports Medicine)
20311 SW ACACIA ST, SUITE 100
NEWPORT BEACH, CA 92660
Orange County (949) 263-1242
DR. GREGORY A ROBERTSON M.D.
Internal Medicine
20311 SW ACACIA ST, STE 100
NEWPORT BEACH, CA 92660
Orange County (949) 250-4244

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 Jeffrey Bloom D.O. Inc, Dba Back Bay Medical's NPI number?

The NPI number for Jeffrey Bloom D.O. Inc, Dba Back Bay Medical is 1538405220. It was assigned to this organization in the NPPES registry on December 27, 2012.

Where is Jeffrey Bloom D.O. Inc, Dba Back Bay Medical located?

Jeffrey Bloom D.O. Inc, Dba Back Bay Medical is located at 20311 SW Acacia St #100, Newport Beach, CA 92660. The listed phone number is (949) 263-1242.

What is Jeffrey Bloom D.O. Inc, Dba Back Bay Medical's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeffrey Bloom D.O. Inc, Dba Back Bay Medical was last updated on December 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.