Healthcare Provider Details

I. General information

NPI: 1912839234
Provider Name (Legal Business Name): BLOOM USA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3233 DE LA CRUZ BLVD STE D
SANTA CLARA CA
95054-2604
US

IV. Provider business mailing address

3233 DE LA CRUZ BLVD STE D
SANTA CLARA CA
95054-2604
US

V. Phone/Fax

Practice location:
  • Phone: 408-210-5946
  • Fax:
Mailing address:
  • Phone: 408-210-5946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: TRUC TON
Title or Position: CEO
Credential:
Phone: 408-515-6450