Individual provider Active NPI

Eric D Bowles, MS, CRNA

  • Certified Registered Nurse Anesthetist
  • Santa Monica, CA
National Provider Identifier
1336431097
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4113 Issued in CA
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

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20111202000405 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870768807 Reassigns benefits to 3 organizations

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
Axiom Anesthesia a Professional Nursing CorporationGroup PAC ID 5395133326, 3 clinicians

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

LicenseStateTypeSpecialty
724492CAMDRegistered Dietitian
4113CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Axiom Anesthesia a Professional Nursing Corporation CurrentSince Nov 1, 2021 Accepting new patients
West Ridge Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2019 Accepting new patients
Source Surgery Center LLC PastSince Apr 1, 2019 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.

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.

Verify at the official NPI Registry.