Organization provider

JEFFREY BLOOM D.O. INC, DBA BACK BAY MEDICAL

Sports Medicine (Family Medicine) Physician

JEFFREY BLOOM D.O. INC, DBA BACK BAY MEDICAL is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1538405220, based in Newport Beach, CA. It is classified under Sports Medicine (Family Medicine) Physician.

Getting there

The practice address on file is 20311 SW ACACIA ST #100, Newport Beach, CA 92660. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

20311 SW ACACIA ST #100, Newport Beach, CA 92660 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
20A6397 CA Sports Medicine (Family Medicine)… primary

This provider holds licence 20A6397 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Sports Medicine covers

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. NUCC Health Care Provider Taxonomy, code 207QS0010X
Allopathic & Osteopathic Physicians Family Medicine Sports Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1538405220 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 27, 2012
Last updatedDec 27, 2012
StatusActive
Practice address 20311 SW ACACIA ST
#100
Newport Beach, CA 92660
(949) 263-1242
Fax (949) 263-1280
This record was last updated on Dec 27, 2012, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1538405220 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 3 8 4 0 5 2 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 6 8 8 0 1 2 4

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1538405220?
NPI 1538405220 is the National Provider Identifier assigned to JEFFREY BLOOM D.O. INC, DBA BACK BAY MEDICAL in Newport Beach, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Sports Medicine cover?
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…
How do I contact JEFFREY BLOOM D.O. INC, DBA BACK BAY MEDICAL?
The phone number on file with NPPES is (949) 263-1242, last updated Dec 27, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1538405220 a valid number?
Yes. 1538405220 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.