Individual provider Active NPI

Jason Cowen, PA

  • Physician Assistant
  • Rancho Cucamonga, CA
National Provider Identifier
1245056688
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
65813 Issued in CA
Practice address
8805 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5149
Phone
(909) 912-1750
NPI assigned
Dec 2, 2024
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 65813 CA Primary

Addresses

Primary practice location

8805 Haven Ave Ste 100
Rancho Cucamonga, CA 91730-5149

Mailing address

33562 Yucaipa Blvd
Ste. 4 #1112
Yucaipa, CA 92399
Phone (909) 353-3570

Other practice location 1

33562 Yucaipa Blvd
Ste. 4 #1112
Yucaipa, CA 92399
Phone (909) 353-3570

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226000641 CA Practitioner - Physician Assistant 4789104332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1901 W Lugonia Ave
Redlands, CA 92374-9703
Phone (909) 557-1600

2131 Elks Dr
201 Arrowhead Orthopaedics
San Bernardino, CA 92404-5572
Phone (909) 726-6100

3889 W Stetson Ave
150 Arrowhead Orthopaedics
Hemet, CA 92545-9682
Phone (951) 652-1600

8805 Haven Ave
Suite 100110
Rancho Cucamonga, CA 91730-5149
Phone (909) 557-1600

8805 Haven Ave
Suite 200
Rancho Cucamonga, CA 91730-5157
Phone (909) 912-1750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65813CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Feb 10, 2025 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Feb 10, 2025 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Past Accepting new patients

Locations

15325 Fairfield Ranch Rd
Ste 150
Chino Hills, CA 91709
Phone (909) 557-1668

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

8805 Haven Ave
Ste 100
Rancho Cucamonga, CA 91730
Phone (909) 912-1750

1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607

1801 Orange Tree Ln
Ste 240
Redlands, CA 92374

1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1245056688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33562 YUCAIPA BLVD",
            "address_2": "STE. 4 #1112",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "909-353-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 HAVEN AVE STE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305149",
            "telephone_number": "909-912-1750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33562 Yucaipa Blvd",
            "address_2": "Ste. 4 #1112",
            "address_purpose": "LOCATION",
            "city": "Yucaipa",
            "state": "CA",
            "postal_code": "92399",
            "country_code": "US",
            "telephone_number": "909-353-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COWEN",
        "first_name": "JASON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-02",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "65813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.