Active NPI
Jeremy Paul Bowden
- Behavior Technician
- Newport Beach, CA
National Provider Identifier
1912429465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1115 W Balboa Blvd
Newport Beach, CA 92661-1037 - Phone
- (949) 675-3764
- Fax
- (949) 675-5797
- NPI assigned
- Jul 15, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1115 W Balboa Blvd
Newport Beach, CA 92661-1037
Mailing address
2940 Peppertree LN Apt D
Costa Mesa, CA 92626-3850
Phone (949) 254-1344
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500076800000",
"number": "1912429465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 PEPPERTREE LN APT D",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263850",
"telephone_number": "949-254-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 W BALBOA BLVD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926611037",
"telephone_number": "949-675-3764",
"fax_number": "949-675-5797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWDEN",
"first_name": "JEREMY",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-15",
"last_updated": "2017-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.