Active NPI
Jason Blake Bowen, D.C.
- Chiropractor
- Fresno, CA
National Provider Identifier
1649363391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 19721
- Practice address
- 5777 N. Fresno St., #101
Fresno, CA 93710 - Phone
- (559) 438-4055
- Fax
- (559) 438-4057
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 19721 | CA | Primary |
Addresses
Primary practice location
5777 N. Fresno St., #101
Fresno, CA 93710
Mailing address
5777 N. Fresno St., #101
Fresno, CA 93710
Phone (559) 438-4055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101020001151 | CA | Practitioner - Chiropractic | 1557554771 | Practice locations: Fresno, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5777 N Fresno St
Suite 101
Fresno, CA 93710-6065
Phone (559) 438-4055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649363391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5777 N. FRESNO ST., #101",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-438-4055",
"fax_number": "559-438-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 N. FRESNO ST., #101",
"city": "FRESNO",
"state": "CA",
"postal_code": "93710",
"telephone_number": "559-438-4055",
"fax_number": "559-438-4057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "JASON",
"middle_name": "BLAKE",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "19721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.