Active NPI
Andrew Christian Owen, D.O., D.C.
- Family Medicine Physician
- Glendora, CA
National Provider Identifier
1578740684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A14864
- Practice address
- 731 Claraday St
Apt 6
Glendora, CA 91740-6502 - Phone
- (541) 205-2840
- NPI assigned
- Jan 31, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A14864 | CA | Primary |
| Family Medicine Physician | 207Q00000X | DO173027 | OR |
Addresses
Primary practice location
731 Claraday St
Apt 6
Glendora, CA 91740-6502
Mailing address
731 Claraday St
Apt 6
Glendora, CA 91740-6502
Phone (541) 205-2840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14864 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 20A14864 | CA | MD | Family Medicine Physician |
| DO173027 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heuser Chiropractic, P.C. | Past | Accepting new patients | |
| Heuser Chiropractic, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Colorado Springs, CO
- NPI 1134523749
-
- Chiropractor
- Colorado Springs, CO
- NPI 1629277314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475366400000",
"number": "1578740684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 CLARADAY ST",
"address_2": "APT 6",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406502",
"telephone_number": "541-205-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 CLARADAY ST",
"address_2": "APT 6",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406502",
"telephone_number": "541-205-2840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "ANDREW",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"credential": "D.O., D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-31",
"last_updated": "2016-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A14864",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "DO173027",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.