| Dr Matthew Lee Bloom, DO | |
|
1280 S Victoria Avenue, Suite # 250, Ventura, CA 93003-9300 | |
| (805) 351-0745 | |
| (805) 288-6744 |
| Full Name | Dr Matthew Lee Bloom |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 11 Years |
| Location | 1280 S Victoria Avenue, Ventura, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801273305 | NPI | - | NPPES |
| 20A16383 | Other | CA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 20A16383 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Johns Regional Medical Center | Oxnard, CA | Hospital |
| Community Memorial Hospital San Buenaventura | Ventura, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Matthew L. Bloom, D.o., Pc | 9931528304 | 3 |
| Entity Name | Careconnectmd Ca Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366063125 PECOS PAC ID: 5496178055 Enrollment ID: O20200715000596 |
| Entity Name | Matthew L. Bloom, D.o., Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356957047 PECOS PAC ID: 9931528304 Enrollment ID: O20201005000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Lee Bloom, DO 1280 S Victoria Avenue, Suite #250, Ventura, CA 93003-7844 Ph: (805) 351-0745 | Dr Matthew Lee Bloom, DO 1280 S Victoria Avenue, Suite # 250, Ventura, CA 93003-9300 Ph: (805) 351-0745 |
Ma Rowena Castillo, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 874 Fitzgerald Ave, Ventura, CA 93003 Phone: 805-216-6448 | |
Alicia Feuerstein, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6700 Telephone Rd Apt 1118, Ventura, CA 93003 Phone: 716-341-3612 | |
Mrs. Benjamine E Sagar, PT BCB-PMD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2727 E Main St, Ventura, CA 93003 Phone: 805-643-0171 Fax: 805-643-0177 | |
Jessica West, MD Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 1280 S Victoria Ave #250, Ventura, CA 93003 Phone: 805-351-0745 Fax: 805-288-6744 | |
Phillip Nguyen, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1280 S Victoria Avenue, Suite # 250, Ventura, CA 93003 Phone: 805-351-0745 Fax: 805-288-6744 | |
Ellen Cantos, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5445 Everglades St, Ventura, CA 93003 Phone: 805-642-1736 |