Jeffrey Bloom D.O. Inc, Dba Back Bay Medical
NPI 1538405220 · Sports Medicine (Family Medicine) Physician · Newport Beach, CA
Jeffrey Bloom D.O. Inc, Dba Back Bay Medical is a Sports Medicine (Family Medicine) Physician organization in Newport Beach, CA (NPI 1538405220).
Provider details
- NPI number
- 1538405220
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Bloom, Owner(949) 263-1242
- License
- 20A6397 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-12-27
- Last updated
- 2012-12-27
Frequently asked questions
- What is Jeffrey Bloom D.O. Inc, Dba Back Bay Medical's NPI number?
- Jeffrey Bloom D.O. Inc, Dba Back Bay Medical's National Provider Identifier (NPI) is 1538405220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeffrey Bloom D.O. Inc, Dba Back Bay Medical?
- Jeffrey Bloom D.O. Inc, Dba Back Bay Medical is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Jeffrey Bloom D.O. Inc, Dba Back Bay Medical located?
- Jeffrey Bloom D.O. Inc, Dba Back Bay Medical's practice location on file with NPPES is 20311 Sw Acacia St, Newport Beach, CA 92660-1733.
- What is Jeffrey Bloom D.O. Inc, Dba Back Bay Medical's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Bloom D.O. Inc, Dba Back Bay Medical is (949) 263-1242.
- Who is the authorized official for Jeffrey Bloom D.O. Inc, Dba Back Bay Medical?
- The authorized official listed on Jeffrey Bloom D.O. Inc, Dba Back Bay Medical's NPPES record is Jeffrey Bloom, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeffrey Bloom D.O. Inc, Dba Back Bay Medical's NPI active?
- Yes — Jeffrey Bloom D.O. Inc, Dba Back Bay Medical's NPI (1538405220) is active in the NPPES registry as of the last update on 2012-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.