Individual provider Active NPI

Thomas Alan Bowhay, M.D.

  • Family Medicine Physician
  • Jackson, CA
National Provider Identifier
1902919665
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0026295 Issued in CO
Practice address
18640 Clinton Road
Jackson, CA 95642
Phone
(209) 418-9178
Fax
(209) 223-1477
NPI assigned
Aug 16, 2006
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X CA
Emergency Medicine Physician 207P00000X A45383 CA
Family Medicine Physician 207Q00000X DR.0026295 CO Primary
Family Medicine Physician 207Q00000X A45383 CA

Addresses

Primary practice location

18640 Clinton Road
Jackson, CA 95642

Mailing address

18640 Clinton Road
Jackson, CA 95642
Phone (209) 418-9178

Other identifiers 1

IdentifierTypeStateIssuer
00A453830MedicaidCA

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
I20051206000979 CA Practitioner - Family Practice 9537189477 Practice locations: Jackson, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45383CAMDEmergency Medicine Physician
DR.0026295COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mother Lode Diagnostic Imaging Inc Past Accepting new patients
Helene Malabed, DO & Terrence C. Turpen, PA-C Family Medicine Past Accepting new patients
Thomas Bowhay, M.D. Family Medicine Past Accepting new patients
Heritage Health Center Inc Urgent Care PastSince Jan 1, 2024 Accepting new patients
Thomas Bowhay MD & Terrence C Turpen Pac Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1446/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1902919665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18640 CLINTON ROAD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "95642",
            "telephone_number": "209-418-9178",
            "fax_number": "209-223-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18640 CLINTON ROAD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "95642",
            "telephone_number": "209-418-9178",
            "fax_number": "209-223-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWHAY",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A45383",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0026295",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45383",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A453830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, CA

Sources for this page

Verify at the official NPI Registry.