Individual provider Active NPI

Christina Marie Bowles, NP

  • Family Nurse Practitioner
  • Ladera Ranch, CA
National Provider Identifier
1861770083
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20875F Issued in CA
Practice address
22 Downing St
Ladera Ranch, CA 92694
Phone
(949) 218-0933
NPI assigned
Jul 22, 2011
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20875F CA Primary

Addresses

Primary practice location

22 Downing St
Ladera Ranch, CA 92694

Mailing address

22 Downing St
Ladera Ranch, CA 92694-0933
Phone (949) 218-0933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110922000163 CA Practitioner - Nurse Practitioner 6305017435 Reassigns benefits to 3 organizations
I20180606001520 MT Practitioner - Nurse Practitioner 6305017435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Viejo Emergency Medical AssociatesGroup PAC ID 2163335241, 17 clinicians

Practice addresses (Care Compare)

27700 Medical Ctr Rd
Mission Viejo, CA 92691-6426
Phone (949) 365-2202

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
20875FCAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Viejo Emergency Medical Associates CurrentSince Nov 23, 2015 Accepting new patients
Mission Viejo Emergency Medical Associates, Inc. CurrentSince Aug 1, 2019 Accepting new patients
Big Horn Hospital Association CurrentSince May 19, 2018 Accepting new patients
Columbia Emergency Medical Group Inc CurrentSince Oct 20, 2012 Accepting new patients
Big Horn Hospital Association CurrentSince May 19, 2018 Accepting new patients

Locations

31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

17 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2310

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.

Hospital & facility affiliations 2

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": "1311292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1861770083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DOWNING ST",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940933",
            "telephone_number": "949-218-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DOWNING ST",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "92694",
            "telephone_number": "949-218-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-22",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20875F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

Verify at the official NPI Registry.