DR. JEFFREY HOWARD BLOOM (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1669472148

DR. JEFFREY HOWARD BLOOM (D.O.) is a healthcare provider. based in Huntington beach, California. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 20A6397 (CA). The NPI Number for DR. JEFFREY HOWARD BLOOM (D.O.) is 1669472148

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY HOWARD BLOOM (D.O.)
NPI
1669472148
Phone
(714) 420-6620
Address
7435 PALOMA DR
Enumeration Date
27 July 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
9492631242
Graduation Year
1992 (34 years ago)
PAC ID
7214194695
Professional Enrollment ID
I20120214000263
Address ID
CA926263400CO3140XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

700 SPORTS MEDICINE in CA

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Provider Addresses for DR. JEFFREY HOWARD BLOOM (D.O.)

  • 7435, Paloma Drive, La Bolsa, Huntington Beach, Orange County, California, 92648, United States

    HUNTINGTON BEACH, CA 926486833

    Phone: (714) 420-6620

    Fax: (949) 263-1280

    Type: Mailing

  • 20311, Southwest Acacia Street, Newport Beach, Orange County, California, 92660, United States

    SUITE 100

    NEWPORT BEACH, CA 926601733

    Phone: (949) 263-1242

    Fax: (949) 263-1280

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $997.

Total Amount is formed as General ($997) + Research ($0) + Ownership ($0) = $997.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Lilly USA, LLC ($199).

Total Amount

$997

General + Research + Ownership

Payments

39

Total payment records

General Amount

$997

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120214000263IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes294116$0
36415Insertion of needle into vein for collection of blood sample12185$0
99213Established patient office or other outpatient visit, 20-29 minutes7343$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7171$0
G0444Annual depression screening, 5 to 15 minutes6969$0
View full utilization report →

Insurance plans in this area (ZIP 92648)

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Provider's Procedures

DR. JEFFREY HOWARD BLOOM (D.O.) performs procedures in SPORTS MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA90670Pneumococcal vaccine for injection into muscle2626

Reviews

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Frequently asked questions

What federal number belongs to DR. JEFFREY HOWARD BLOOM (D.O.)?
The federal identifier for DR. JEFFREY HOWARD BLOOM (D.O.) is NPI 1669472148.
Does this profile mean DR. JEFFREY HOWARD BLOOM (D.O.) is currently active?
Yes — DR. JEFFREY HOWARD BLOOM (D.O.) appears active in the national provider directory.
What kind of provider is DR. JEFFREY HOWARD BLOOM (D.O.)?
The page reflects Sports Medicine (Family Medicine) Physician for DR. JEFFREY HOWARD BLOOM (D.O.). Clinical services aligned with this taxonomy classification.
Where is DR. JEFFREY HOWARD BLOOM (D.O.)'s primary listing?
We display Huntington Beach, California because that is what the record indicates for DR. JEFFREY HOWARD BLOOM (D.O.).
What if Huntington Beach, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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