Lesley Bowler

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA18471 Issued in CA

Practice address

100 Arch St Ste 1
Redwood City, CA 94062-1381

Phone

(650) 482-7546

Fax

(650) 562-7481

NPI assigned

Oct 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Khosla Dermatology, Inc.Group PAC ID 6204207392, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCBHCD/Endpoint/DCBHCD

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.

• Khosla Dermatology, Inc.

  • Dermatology Physician
  • Redwood City, CA
  • NPI 1508583790
  Medicare reassignment Care Compare group
• John Muir Health

  • General Acute Care Hospital
  • Concord, CA
  • NPI 1801821376
  NPD (past)

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1346525938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARCH ST",
            "address_2": "STE 1",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARCH ST STE 1",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621381",
            "telephone_number": "650-482-7546",
            "fax_number": "650-562-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLER",
        "first_name": "LESLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-15",
        "last_updated": "2022-10-03",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA18471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery Ray Bott
• Julie Bottarini, PT
• Abigail Rebecca Bourgon, MD
• Sean Edwin Bourke, M.D
• Jack Martin Bourla, D.C.
• James J. Boyle, MD
• Kendall Bozzello
• Gary J. Bozzini, MD
• Henry A. Braa, MD
• Braden Partners LP

• Medical Physician Assistant in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.