David R Bloom, MD - Medicare Family Practice in Huntington Beach, CA

David R Bloom, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Huntington Beach, California. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Portola Medical Services Pc and his current practice location is 17822 Beach Blvd, #325, Huntington Beach, California. You can reach out to his office (for appointments etc.) via phone at (714) 843-6550.

David R Bloom is licensed to practice in California (license number G069614) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417005737.

Contact Information

David R Bloom, MD
17822 Beach Blvd, #325,
Huntington Beach, CA 92647
(714) 843-6550
(714) 843-6560

Map and Direction




Physician's Profile

Full NameDavid R Bloom
GenderMale
SpecialityFamily Practice
Experience35 Years
Location17822 Beach Blvd, Huntington Beach, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David R Bloom graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1417005737
  • Provider Enumeration Date: 01/05/2007
  • Last Update Date: 07/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9436346749
  • Enrollment ID: I20101213001031

Medical Identifiers

Medical identifiers for David R Bloom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417005737NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine G069614 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Portola Medical Services Pc478997077322

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. David R Bloom allows following entities to bill medicare on his behalf.
Entity NamePortola Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871962076
PECOS PAC ID: 4789970773
Enrollment ID: O20160830002440
Entity NamePersonalcare Physicians Of Newport Beach Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740484633
PECOS PAC ID: 4587092663
Enrollment ID: O20200324001785

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David R Bloom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David R Bloom, MD
17822 Beach Blvd, #325,
Huntington Beach, CA 92647-7101

Ph: (714) 843-6550
David R Bloom, MD
17822 Beach Blvd, #325,
Huntington Beach, CA 92647

Ph: (714) 843-6550

Reviews and Comments


Family Medicine Doctors in Huntington Beach, CA

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Dr. Shervin Fouladi Rad, MD
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Phone: 714-378-0900    Fax: 714-378-5166

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.