Individual provider Active NPI

Nina Michelle Bowens, MD

  • Vascular Surgery Physician
  • Long Beach, CA
National Provider Identifier
1962559039
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A143901 Issued in CA
Practice address
3747 Worsham Ave Ste 2001
Long Beach, CA 90808-1731
Phone
(562) 630-8821
NPI assigned
Jan 4, 2007
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT188135 PA
Vascular Surgery Physician 2086S0129X A143901 CA Primary

Addresses

Primary practice location

3747 Worsham Ave Ste 2001
Long Beach, CA 90808-1731

Mailing address

1 Bora Bora Way Apt 117
Marina del Rey, CA 90292-6881
Phone (215) 593-0597

Other practice location 1

8283 Grove Ave Ste 207A
Rancho Cucamonga, CA 91730-3141
Phone (562) 630-8821

Other practice location 2

16506 Lakewood Blvd Ste 200
Bellflower, CA 90706-5165
Phone (562) 888-8961

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
I20181115001598 CA Practitioner - Vascular Surgery 5799038139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
JS Weill Medical College, Cornell University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bandb Medical Group IncGroup PAC ID 7618361494, 9 clinicians

Practice addresses (Care Compare)

16506 Lakewood Blvd
Suite 200
Bellflower, CA 90706-5165
Phone (562) 888-8961

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
38.53 of 100Reported as group
Quality
20.07
Promoting interoperability
0
Improvement activities
0
Cost
75.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT188135PAMDSurgery Physician
A143901CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
B&B Medical Group Inc CurrentSince Feb 17, 2025 Accepting new patients
Prohealth Partners a Medical Group CurrentSince Sep 30, 2023 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Sep 30, 2023 Accepting new patients
Pacific Vascular Access Care, Inc PastSince May 1, 2024 Accepting new patients

Locations

16506 Lakewood Blvd
Bellflower, CA 90706
Phone (562) 888-8921

16506 Lakewood Blvd
Ste 200
Bellflower, CA 90706
Phone (562) 867-5300

16506 Lakewood Blvd
Ste 201
Bellflower, CA 90706
Phone (562) 888-8961

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

2865 Atlantic Ave
Long Beach, CA 90806
Phone (562) 933-1820

2865 Atlantic Ave
Ste 104
Long Beach, CA 90806
Phone (562) 933-1820

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nbowens679203@direct.memorialcare.org
  • Direct secure messaging: nina.bowens.p184@direct.aac.nextgenshare.com

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 1

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1962559039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BORA BORA WAY APT 117",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926881",
            "telephone_number": "215-593-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVE STE 2001",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081731",
            "telephone_number": "562-630-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8283 Grove Ave Ste 207A",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303141",
            "country_code": "US",
            "telephone_number": "562-630-8821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16506 Lakewood Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907065165",
            "country_code": "US",
            "telephone_number": "562-888-8961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWENS",
        "first_name": "NINA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT188135",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A143901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.