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

Jessica Bloom, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588287387

Jessica Bloom, MD is a Student in an Organized Health Care Education/Training Program in San Diego, California. Practices as a sole proprietor and works from 3 locations. Licensed in California and Illinois.

Licensed in
CA, IL
In the registry since
2020
Specialties on file
3
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

San Diego, CA

Additional practice locations (2)

  • 2160 S 1st Ave, Maywood, IL 60153-3328 — (888) 584-7888
  • 3333 Green Bay Rd, North Chicago, IL 60064-3037 — (847) 578-3204

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence A182564 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.078268 (IL)

Record details

NPI number1588287387
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 27, 2020
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

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