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

Dr. Chandra Nicole Keebler Bloom, MD

Individual provider Geriatric Medicine (Internal Medicine) Physician · NPI 1497018238

Dr. Chandra Nicole Keebler Bloom, MD is a Geriatric Medicine in Vallejo, California. Graduated from University of California, San Diego School of Medicine in 2012, 14 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Trained at
University of California, San Diego School of Medicine
Licensed in
CA
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

975 Sereno Dr
Vallejo, CA 94589-2441
Phone: (707) 438-5077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 251 E Huron St, Chicago, IL 60611-2908 — (312) 926-2000

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence A131366 (CA)

Record details

NPI number1497018238
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2012
Last updated in NPPESJanuary 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGERIATRIC MEDICINE
Also practisesHOSPICE/PALLIATIVE CARE, INTERNAL MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount