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

Michael Gary Bloom, MD

Individual provider Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1821197591

Michael Gary Bloom, MD is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Van Nuys, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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

15243 Van Owen St #403
Van Nuys, CA 91405
Phone: (818) 988-8800
Fax: (818) 988-3416
Show map & directions

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

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X · Licence A23832 (CA)

Record details

NPI number1821197591
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 21, 2006
Last updated in NPPESJuly 9, 2007
Mailing address15243 Van Owen St #403, Van Nuys, CA 91405