Individual provider Active NPI

Deborah Anne Bowser, MFT

  • Marriage & Family Therapist
  • San Dimas, CA
National Provider Identifier
1770858599
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC16183 Issued in CA
Practice address
425 W Bonita Ave
Suite 204
San Dimas, CA 91773-2541
Phone
(909) 592-4431
Fax
(909) 592-2912
NPI assigned
Mar 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC16183 CA Primary

Addresses

Primary practice location

425 W Bonita Ave
Suite 204
San Dimas, CA 91773-2541

Mailing address

425 W Bonita Ave
Suite 204
San Dimas, CA 91773-2541
Phone (909) 592-4431

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

LicenseStateTypeSpecialty
MFC16183CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita Counseling Center Marriage & Family Therapist PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 1

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": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1770858599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE",
            "address_2": "SUITE 204",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732541",
            "telephone_number": "909-592-4431",
            "fax_number": "909-592-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W BONITA AVE",
            "address_2": "SUITE 204",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732541",
            "telephone_number": "909-592-4431",
            "fax_number": "909-592-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWSER",
        "first_name": "DEBORAH",
        "middle_name": "ANNE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC16183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.