Individual provider Active NPI

Justin Bowles, M.D.

  • Family Medicine Physician
  • Oceanside, CA
National Provider Identifier
1649533993
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60920641 Issued in WA
Practice address
1761 Avenida Segovia
Oceanside, CA 92056
Phone
(435) 590-5710
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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 MD60920641 WA Primary

Addresses

Primary practice location

1761 Avenida Segovia
Oceanside, CA 92056

Mailing address

1761 Avenida Segovia
Oceanside, CA 92056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190821003768 WA Practitioner - Family Practice 9335437300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1322 3Rd St SE
Suite 100
Puyallup, WA 98372-3771
Phone (253) 403-7277

15870 1St Ave S
Suite 101
Burien, WA 98148-1301
Phone (206) 242-2501

215 Whitesell St NW
Suite B113
Orting, WA 98360-9363
Phone (253) 697-3080

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

311 S L St
Tacoma, WA 98405-3720

345 Cooper Point Rd NW
Suite 103
Olympia, WA 98502-4461
Phone (360) 763-7515

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

5058 Main St
Suite 100
Tacoma, WA 98407-3148
Phone (253) 533-6770

5314 176TH St E
A
Tacoma, WA 98446-7507
Phone (253) 875-7630

7096 Lakeland Hills Way SE
Suite 103
Auburn, WA 98092-8438
Phone (253) 545-3650

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jun 26, 2019 Accepting new patients
Multicare Health System CurrentSince Jun 26, 2019 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System Family Medicine Past Accepting new patients
DHHS IHS Phoenix Area Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: jbowles280781@direct.multicare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1649533993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 AVENIDA SEGOVIA",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 AVENIDA SEGOVIA",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056",
            "telephone_number": "435-590-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60920641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.