Jeffrey Bloom D.O. Inc, DBA Back Bay Medical
NPI 1538405220ActiveOrganization· Family Medicine, Sports Medicine· Newport Beach, CA
Family Medicine, Sports Medicine in Newport Beach, California, registered in NPPES in December 2012. The authorized official on file is Jeffrey Howard Bloom, D.O., Owner.
Overview
| NPI | 1538405220 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 27, 2012 |
| Last updated in NPPES | Dec 27, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Sports Medicine Primary | 207QS0010X | 20A6397 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine, Sports Medicine providers in Newport Beach
- 1164221685
- 1669472148
- 1740549278
- 1245729128
- 1396030763
- 1457939043
- 1699340687
All Family Medicine, Sports Medicine providers in California →