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

Evan D Bloom, MD

Individual provider Emergency Medicine Physician · NPI 1285894931

Evan D Bloom, MD is an Emergency Medicine in San Francisco, California. Graduated from State University of New York at Stony Brook, School of Medicine in 2005, 21 years ago. Practices with Pacific Redwood Medical Group Inc, a 59-clinician group and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
21
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
CA, MA
In the registry since
2008
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

1001 Potrero Ave Ste 1E21
San Francisco, CA 94110-3518
Phone: (415) 206-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 235804 (MA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A108485 (CA)

Record details

NPI number1285894931
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2008
Last updated in NPPESMarch 17, 2010
Mailing address230 Oak St, Apt 32, San Francisco, CA 94102-5841

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Pacific Redwood Medical Group Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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