Dennis Cowan, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA11692 Issued in CA

Practice address

18646 Oxnard St
Tarzana, CA 91356-1411

Phone

(818) 996-1051

Fax

(818) 996-9338

NPI assigned

Feb 14, 2007

Last updated

Sep 22, 2015By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Ghods Inc

  dba Besht Wellness

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1790344869
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1477696177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 RESEDA BLVD 101A",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358400",
            "telephone_number": "818-708-7668",
            "fax_number": "818-708-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18646 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561411",
            "telephone_number": "818-996-1051",
            "fax_number": "818-996-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Yvonne Corona, CCAPP
• Leslie Corral
• Michelle Cortes
• Corvita Hospice Care, Inc.
• Candace Cowan, MSW
• Cozy Hearts Home Health Inc
• Angela Cozzi
• Jessica Erin Craig
• Steven Craig
• Jennifer Louise Crandall, DDS

• Medical Physician Assistant in Tarzana, CA
• Providers in Tarzana, 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 Sep 22, 2015; 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.