Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427634963 Individual Practitioner Male Practitioner

Dr. Cooper Wallace Bloyd , MD

Pediatrics • San Rafael, CA

Professional Overview & Biography Verified Profile Summary

Dr. Cooper Bloyd, MD is a registered healthcare professional specializing in Pediatrics in San Rafael, CA. Practice services are available at 1650 LOS GAMOS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1650 Los Gamos Dr

San Rafael, CA 949031850

Telephone 4154444460
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in San Rafael, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
22 Specialists

Practicing in San Rafael, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-26
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A183168

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1063711307

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location August 26, 2024

Registered at 1650 LOS GAMOS DR, SAN RAFAEL, CA 949031850 (Tel: 4154444460)

📍
Updated Business Mailing Address August 26, 2024

Registered at 708 BUTTERNUT DR, SAN RAFAEL, CA 949033124 (Tel: 4156379508)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2024

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location November 17, 2022

Registered at 140 PENNSYLVANIA AVE APT 301, SAN FRANCISCO, CA 941072576 (Tel: 4156379508)

📍
Updated Business Mailing Address November 17, 2022

Registered at 140 PENNSYLVANIA AVE APT 301, SAN FRANCISCO, CA 941072576 (Tel: 4156379508)

👤
Provider Name / Credentials Updated November 17, 2022

Recorded as COOPER BLOYD, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2022

Pediatrics (License #A183168 in CA)

NPI Profile Active March 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2021

Registered at 2390 CHESTNUT ST APT 306, SAN FRANCISCO, CA 941232636 (Tel: 4156379508)

📍
Updated Business Mailing Address March 23, 2021

Registered at 2390 CHESTNUT ST APT 306, SAN FRANCISCO, CA 941232636 (Tel: 4156379508)

👤
Provider Name / Credentials Updated March 23, 2021

Recorded as COOPER BLOYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 23, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427634963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2021
Last Update: August 26, 2024
Sole Proprietor: No

Mailing Address

708 Butternut Dr

San Rafael, CA 949033124

Phone: 4156379508

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.