Individual provider Active NPI

Carl Louis Rowens III

  • Family Psychologist
  • Eastvale, CA
National Provider Identifier
1245126713
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
Practice address
12829 Eastern Shore Dr
Eastvale, CA 92880-3458
Phone
(951) 818-2176
NPI assigned
Jun 13, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X NU Primary

Addresses

Primary practice location

12829 Eastern Shore Dr
Eastvale, CA 92880-3458

Mailing address

12829 Eastern Shore Dr
Eastvale, CA 92880-3458
Phone (951) 818-2176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1245126713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12829 EASTERN SHORE DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803458",
            "telephone_number": "951-818-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12829 EASTERN SHORE DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928803458",
            "telephone_number": "951-818-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWENS",
        "first_name": "CARL",
        "middle_name": "LOUIS",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-09-11",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.