Individual provider Active NPI

Twyman Rene Owens I

  • Specialist
  • Compton, CA
National Provider Identifier
1699844837
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G068762 Issued in CA
Practice address
403 S Long Beach Blvd
Suite a
Compton, CA 90221-3449
Phone
(310) 635-6181
Fax
(310) 635-6196
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G068762 CA Primary

Addresses

Primary practice location

403 S Long Beach Blvd
Suite a
Compton, CA 90221-3449

Mailing address

403 S Long Beach Blvd
Suite a
Compton, CA 90221-3449
Phone (310) 635-6181

Other names 1

  • Twyman Rene Owens I Other name

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
I20150326000622 CA Practitioner - Pediatric Medicine 9638496953 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G068762CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jan 31, 2015 Accepting new patients
County of Los Angeles CurrentSince Jan 31, 2015 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Childrens Cardiac Diagnostics & Medical Assoc Specialist Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699844837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 S LONG BEACH BLVD",
            "address_2": "SUITE A",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213449",
            "telephone_number": "310-635-6181",
            "fax_number": "310-635-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 S LONG BEACH BLVD",
            "address_2": "SUITE A",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902213449",
            "telephone_number": "310-635-6181",
            "fax_number": "310-635-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TWYMAN",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G068762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TWYMAN",
            "last_name": "OWENS",
            "middle_name": "RENE",
            "suffix": "I",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Compton, CA

Sources for this page

Verify at the official NPI Registry.