Active NPI
Nina Michelle Bowens, MD
- Vascular Surgery Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A143901
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT188135 | PA | MD | Surgery Physician |
| A143901 | CA | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Partners, a Medical Group | Current | Accepting new patients | |
| B&B Medical Group Inc | Current | Accepting new patients | |
| Prohealth Partners a Medical Group | Current | Accepting new patients | |
| Prohealth Partners, a Medical Group, Inc. | Current | Accepting new patients | |
| Pacific Vascular Access Care, Inc | Past | 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
- nbowens679203@direct.memorialcare.org
- 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.
-
dba Azura Vascular Care Long Beach
- Vascular & Interventional Radiology Physician
- Bellflower, CA
- NPI 1487327201
-
- Family Medicine Physician
- Torrance, CA
- NPI 1609226877
-
- Internal Medicine Physician
- Lakewood, CA
- NPI 1003949975
-
- Internal Medicine Physician
- Pico Rivera, CA
- NPI 1912899394
-
- Vascular & Interventional Radiology Physician
- Downey, CA
- NPI 1629846670
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba LAC Harbor UCLA Medical Center
- General Acute Care Hospital
- Torrance, CA
- NPI 1477574838
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.