Individual provider Active NPI

Andrea Bower, M.D.

  • Family Medicine Physician
  • Fallbrook, CA
National Provider Identifier
1649375015
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G036954 Issued in CA
Practice address
617 E Alvarado St
Fallbrook, CA 92028-2315
Phone
(760) 728-3816
Fax
(760) 728-1542
NPI assigned
Sep 13, 2006
Last updated
Sep 14, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G036954 CA Primary

Addresses

Primary practice location

617 E Alvarado St
Fallbrook, CA 92028-2315

Mailing address

8151 Arlington Ave
Suite U-V
Riverside, CA 92503-0436
Phone (951) 588-0861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000757 CA Practitioner - Family Practice 4385698356 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G036954CAMDFamily Medicine Physician
36954CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Southern California Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Southern California Emergency Medicine Current Accepting new patients
Tricare Outpatient Clinic Clairemont Past Accepting new patients
Terry D. Ahn DDS., Inc Past Accepting new patients

Locations

1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577

1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500

33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900

Organizations & group practices 5

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1649375015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8151 ARLINGTON AVE",
            "address_2": "SUITE U-V",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925030436",
            "telephone_number": "951-588-0861",
            "fax_number": "951-588-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 E ALVARADO ST",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282315",
            "telephone_number": "760-728-3816",
            "fax_number": "760-728-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G036954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

Verify at the official NPI Registry.