Individual provider Active NPI

Gary Alan Dolowich, M.D.

  • Family Medicine Physician
  • Aptos, CA
National Provider Identifier
1194756346
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G224670 Issued in CA
Practice address
8065 Aptos St
Aptos, CA 95003-3904
Phone
(831) 685-1800
Fax
(831) 685-0108
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X G224670 CA
Family Medicine Physician 207Q00000X G224670 CA Primary

Addresses

Primary practice location

8065 Aptos St
Aptos, CA 95003-3904

Mailing address

8065 Aptos St
Aptos, CA 95003-3904
Phone (831) 685-1800

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
I20090904000134 CA Practitioner - General PracticePractitioner - Other (Physician) 5698820140 Practice locations: Aptos, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G224670CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Paris Healing Arts & Acupuncture, PC Acupuncturist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1194756346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8065 APTOS ST",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033904",
            "telephone_number": "831-685-1800",
            "fax_number": "831-685-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8065 APTOS ST",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033904",
            "telephone_number": "831-685-1800",
            "fax_number": "831-685-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLOWICH",
        "first_name": "GARY",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "G224670",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G224670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

Verify at the official NPI Registry.