Active NPI
Angela Bowser, LCSW
- Clinical Social Worker
- San Bernardino, CA
National Provider Identifier
1629336375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 78746
- Practice address
- 2999 Kendall Drive
Ste 204 PMB 1026
San Bernardino, CA 92407 - Phone
- (909) 278-6494
- NPI assigned
- May 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 36598 | CA | |
| Clinical Social Worker | 1041C0700X | 78746 | CA | Primary |
Addresses
Primary practice location
2999 Kendall Drive
Ste 204 PMB 1026
San Bernardino, CA 92407
Mailing address
2999 Kendall Dr Ste 204
San Bernardino, CA 92407-2436
Phone (909) 278-6494
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36598 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1629336375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2999 KENDALL DR STE 204",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924072436",
"telephone_number": "909-278-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 KENDALL DRIVE",
"address_2": "STE 204 PMB 1026",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92407",
"telephone_number": "909-278-6494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWSER",
"first_name": "ANGELA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "36598",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "78746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.