DR. JODY COREY-BLOOM MD PHD NPI 1053400093

NPI Information

NPI: 1053400093
Provider Name: DR. JODY COREY-BLOOM, MD, PHD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: REGENTS OF THE UNIVESITY OF CALIFORNIA - UCSD MEDICAL GROUP

PECOS Registration: Yes

Address:
8950 VILLA LA JOLLA DR
C129
LA JOLLA, CA
ZIP 92037
Phone: (858) 246-1288
Get Directions

DR. Jody Corey-bloom, MD, PHD is a neurology psychiatry neurology in La Jolla, CA with 38 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Jody Corey-bloom, MD, PHD NPI is 1053400093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

8950 VILLA LA JOLLA DR
C129
LA JOLLA, CA
ZIP 92037-714
Phone: (858) 246-1288
Fax: (858) 246-1283

The NPI 1053400093 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 4/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	G062847	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4845	OTHER		CMS
2	00G628470	MEDICAID	CALIFORNIA
3	E71029	MEDICARE UPIN	CALIFORNIA
4	130007027	OTHER		RAILROAD MEDICARE
5	00G628470C06	OTHER	CALIFORNIA	CALOPTIMA PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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