Individual provider Active NPI

Conor Fowler, MD

  • Physical Medicine & Rehabilitation Physician
  • Santa Monica, CA
National Provider Identifier
1871120170
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A194478 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 1280W
Santa Monica, CA 90404-2230
Phone
(310) 264-7246
Fax
(310) 882-7005
NPI assigned
Mar 25, 2020
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A194478 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 1280W
Santa Monica, CA 90404-2230

Mailing address

2001 Santa Monica Blvd Ste 1280W
Santa Monica, CA 90404-2230

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
I20251206000065 CA Practitioner - Physical Medicine and Rehabilitation 1951830488 Reassigns benefits to 2 organizations
Practice locations: Santa Monica, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Albert Einstein College of Medicine of Yeshiva University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 1280W
Santa Monica, CA 90404-2230
Phone (310) 264-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A194478CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conor Fowler MD, Inc. Physical Medicine & Rehabilitation CurrentSince Jan 1, 2026 Accepting new patients

Locations

2001 Santa Monica Blvd
Ste 1280W
Santa Monica, CA 90404
Phone (310) 264-7246

Interoperability endpoints

  • Direct secure messaging: conor.fowler.1@18743.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1871120170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 1280W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 1280W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042230",
            "telephone_number": "310-264-7246",
            "fax_number": "310-882-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "CONOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A194478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.