Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Bloom DO Inc, Dba Back Bay Medical

Organization Sports Medicine (Family Medicine) Physician · NPI 1538405220

Jeffrey Bloom DO Inc, Dba Back Bay Medical is a Sports Medicine (Family Medicine) Physician in Newport Beach, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20311 SW Acacia St #100
Newport Beach, CA 92660-1733
Phone: (949) 263-1242
Fax: (949) 263-1280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 20A6397 (CA)

Record details

NPI number1538405220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Bloom — Owner · (949) 263-1242
NPI enumeratedDecember 27, 2012
Last updated in NPPESDecember 27, 2012
Mailing address20311 Sw Acacia St, 100, Newport Beach, CA 92660-1733

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