ELLIE BLOOMFIELD MD NPI 1164602660

NPI Information

  • NPI: 1164602660
  • Provider Name: ELLIE BLOOMFIELD MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 1808 VERDUGO BLVD STE 403
    GLENDALE, CA
    ZIP 91208
  • Phone: (818) 790-7098

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NPI Details

ELLIE BLOOMFIELD MD is an internal medicine in Glendale, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ELLIE BLOOMFIELD MD NPI is 1164602660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1808 VERDUGO BLVD STE 403
GLENDALE, CA
ZIP 91208-490
Phone: (818) 790-7098
Fax: (818) 790-7099

The provider's authorized official is Ellie Hope Bloomfield .
The authorized official title is Owner and has the following contact phone number (818) 790-7098.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 1/22/2008.

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
1207R00000XInternal MedicineG65919CALIFORNIAYes

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
1F01151MEDICARE UPINCALIFORNIA
200G659190MEDICAIDCALIFORNIA
3G65919MEDICARE PINCALIFORNIA

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: 3/30/2025

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