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

Cooper Wallace Bloyd, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427634963

Cooper Wallace Bloyd, MD is a Student in an Organized Health Care Education/Training Program in San Rafael, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1650 Los Gamos Dr
San Rafael, CA 94903-1850
Phone: (415) 444-4460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A183168 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427634963
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2021
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address708 Butternut Dr, San Rafael, CA 94903-3124

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