Michael T Bowersox MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G053320 Issued in CA

Legal business name

MICHAEL T BOWERSOX MD INC

Practice address

16613 Wikiup Rd
Ramona, CA 92065-4161

Phone

(858) 243-2851

Fax

(760) 748-6800

NPI assigned

Oct 20, 2013

Last updated

Jan 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael T Bowersox, M.D.NPI 1285652818

Title

Physician

Phone

(760) 500-0265

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael T. Bowersox, M.D.

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1285652818
  Authorized official Same address or phone

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

{
    "created_epoch": "1382227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1841628393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920650486",
            "telephone_number": "858-243-2851",
            "fax_number": "760-748-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16613 WIKIUP RD",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920654161",
            "telephone_number": "858-243-2851",
            "fax_number": "760-748-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T BOWERSOX MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-20",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "BOWERSOX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "760-500-0265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G053320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha Slosarova Meehleib, REGISTERED NURSE
• Dulce Carolina Mendivil Dominguez
• Marlene Mendoza, DPT
• Mental Health Systems, Inc. (Teen Recovery Center - Ramona)
• Mental Health Systems, Inc. (BPSR Kinesis North - Ramona Clinic)
• Angie L Miller
• Derrick James Miller
• Jennifer Ane Miller, PSY.D.
• Jerry Miller, MD
• Julie A Mills, CADC-CAS

• Family Medicine Physician in Ramona, CA
• Providers in Ramona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.