Individual provider Active NPI

Karol Bowens

  • Obstetrics Physician
  • Lynwood, CA
National Provider Identifier
1083798284
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
A54708 Issued in CA
Practice address
3621 Martin Luther King Jr Blvd
Ste 2
Lynwood, CA 90262-3512
Phone
(310) 631-4445
Fax
(310) 631-4447
NPI assigned
Oct 24, 2006
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X A54708 CA Primary

Addresses

Primary practice location

3621 Martin Luther King Jr Blvd
Ste 2
Lynwood, CA 90262-3512

Mailing address

PO Box 696
Lynwood, CA 90262-3512

Other identifiers 1

IdentifierTypeStateIssuer
00A547080MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180713002687 CA Practitioner - Obstetrics/Gynecology 1456608942 Practice locations: Lynwood, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A54708CAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
St Francis Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Maxine M. Anderson, M.D., Inc. PastSince Dec 26, 2007 Accepting new patients
Gardena Hospital LP Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kbowensmd17521@direct.memorialcare.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1083798284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 696",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 MARTIN LUTHER KING JR BLVD",
            "address_2": "STE 2",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623512",
            "telephone_number": "310-631-4445",
            "fax_number": "310-631-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWENS",
        "first_name": "KAROL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A54708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A547080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.