Individual provider Active NPI

David Bowen, AU.D

  • Audiologist
  • Clovis, CA
National Provider Identifier
1497996185
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU2659 Issued in CA
Practice address
420 Bullard Ave Ste 101
Clovis, CA 93612-1054
Phone
(559) 299-3566
NPI assigned
Mar 10, 2009
Last updated
Mar 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU2659 CA Primary

Addresses

Primary practice location

420 Bullard Ave Ste 101
Clovis, CA 93612-1054

Mailing address

420 Bullard Ave Ste 101
Clovis, CA 93612-1054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170127001573 CA Practitioner - Qualified Audiologist 6204118219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Hearing ServicesGroup PAC ID 7416449392, 4 clinicians
Central Calif ENT Medical GroupGroup PAC ID 6901853316, 3 clinicians
ENT Associates of Fresno IncGroup PAC ID 5698298784, 7 clinicians

Practice addresses (Care Compare)

1270 E Spruce Ave
Suite 120
Fresno, CA 93720-3312
Phone (559) 432-5973

1351 E Spruce Ave
Fresno, CA 93720-3342
Phone (559) 432-3303

6121 N Thesta St
Suite 303
Fresno, CA 93710-5294
Phone (559) 768-3682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AU2659CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Calif ENT Medical Group CurrentSince Jun 16, 2018 Accepting new patients
ENT Associates of Fresno Inc CurrentSince Jan 2, 2026 Accepting new patients

Locations

1351 E Spruce Ave
Fresno, CA 93720
Phone (559) 432-3303

6121 N Thesta St
Ste 303
Fresno, CA 93710
Phone (559) 450-2300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1497996185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BULLARD AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BULLARD AVE STE 101",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121054",
            "telephone_number": "559-299-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.