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

Dr. Justin Glavis-Bloom, MD

Individual provider Diagnostic Radiology Physician · NPI 1124474259

Dr. Justin Glavis-Bloom, MD is a Diagnostic Radiology in Orange, California. Graduated from Warren Alpert Medical School of Brown University in 2016, 10 years ago. Practices with Uc Regents, a 103-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
10
Trained at
Warren Alpert Medical School of Brown University
Licensed in
CA, NY
In the registry since
2016
Specialties on file
4
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

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 456-7237
Show map & directions

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

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X · Licence A154223 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A154223 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 345511 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124474259
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2016
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address200 S Manchester Ave Ste 300, Orange, CA 92868-3219

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2016 (10 years in practice)
Group practice Uc Regents — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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