Active NPI
Eric D Bowles, MS, CRNA
- Certified Registered Nurse Anesthetist
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4113
- Practice address
- 2801 Wilshire Blvd Ste B
Santa Monica, CA 90403-4801 - Phone
- (310) 574-2777
- NPI assigned
- May 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4113 | CA | Primary |
Addresses
Primary practice location
2801 Wilshire Blvd Ste B
Santa Monica, CA 90403-4801
Mailing address
1158 26TH St Ste 131
Santa Monica, CA 90403-4698
Phone (323) 289-2389
Other practice location 1
2827 Wilshire Blvd
Santa Monica, CA 90403-4801
Phone (310) 453-1489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2801 Wilshire Blvd
Suite B
Santa Monica, CA 90403-4801
Phone (323) 289-2389
2811 Wilshire Blvd
Suite 690
Santa Monica, CA 90403-4816
Phone (310) 829-5968
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 724492 | CA | MD | Registered Dietitian |
| 4113 | CA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axiom Anesthesia a Professional Nursing Corporation | Current | Accepting new patients | |
| West Ridge Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Source Surgery Center LLC | Past | Accepting new patients |
Locations
240 S La Cienega Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 882-5454
1158 26th St
Ste 131
Santa Monica, CA 90403
2801 Wilshire Blvd
Ste B
Santa Monica, CA 90403
Phone (323) 289-2389
2811 Wilshire Blvd
Ste 690
Santa Monica, CA 90403
Phone (310) 828-7239
1050 Wall St W
Ste 360
Lyndhurst, NJ 07071
Phone (201) 821-7900
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Beverly Hills, CA
- NPI 1760150155
-
- Certified Registered Nurse Anesthetist
- Santa Monica, CA
- NPI 1932686748
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Thousand Oaks, CA
- NPI 1063511475
-
- Ambulatory Surgical Clinic/Center
- Santa Monica, CA
- NPI 1558802249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1336431097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1158 26TH ST STE 131",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034698",
"telephone_number": "323-289-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 WILSHIRE BLVD STE B",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034801",
"telephone_number": "310-574-2777"
}
],
"practiceLocations": [
{
"address_1": "2827 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904034801",
"country_code": "US",
"telephone_number": "310-453-1489",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWLES",
"first_name": "ERIC",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "MS, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-12",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "4113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.