DR. MICHAEL T. BOWERSOX


Address: 15025 Innovation Dr, San Diego, CA 92128-3409
Phone: 8586057166

DR. MICHAEL T. BOWERSOX (NPI# 1285652818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285652818
Entity Type Individual
Full Name DR. MICHAEL T. BOWERSOX
Credential M.D.
Practice Address 15025 Innovation Dr
San Diego
CA 92128-3409
Mailing Address 16613 Wikiup Rd
Ramona
CA 92065-4161
Practice Telephone 8586057166
Mailing Telephone 8582432851
Mailing Fax Number 7607486800
Enumeration Date 2006-07-18
Last Update Date 2019-09-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine G53320 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G533200 05

Other Providers MICHAEL BOWERSOX

NPI Name Taxonomy Address Enumeration
1568965192 Michael Bowersox Counselor 6 Loop St Ste 3, Pittsburgh, PA 15215-3248 2018-03-09

Office Location

Street Address 15025 INNOVATION DR
City SAN DIEGO
State CA
Zip Code 92128-3409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649240722 Mark Edward Gallegos Physician Assistant 15025 Innovation Dr, San Diego, CA 92128-3409 2006-01-23
1891896569 Mark B. Kuhse Emergency Medicine 15025 Innovation Dr, San Diego, CA 92128-3409 2006-09-26
1962504431 Ronald G. Salzetti Obstetrics & Gynecology 15025 Innovation Dr, San Diego, CA 92128-3409 2006-09-03
1407958978 Danielle P. Twyman Physician Assistant 15025 Innovation Dr, San Diego, CA 92128-3409 2006-09-03
1225130792 Marcelline K. Welsh Pediatrics 15025 Innovation Dr, San Diego, CA 92128-3409 2006-09-03
1033211685 Julian J. Nicholas Internal Medicine 15025 Innovation Dr, San Diego, CA 92128-3409 2006-09-03
1275635831 Michael J. Rundell Emergency Medicine 15025 Innovation Dr, San Diego, CA 92128-3409 2006-09-03
1477655082 Margaret A. Drehobl Family Medicine 15025 Innovation Dr, San Diego, CA 92128-3409 2006-09-03
1346342995 Clifford G. Feaver Podiatrist 15025 Innovation Dr, San Diego, CA 92128-3409 2006-09-03
1518069160 Kimberly A. Longmire Emergency Medicine 15025 Innovation Dr, San Diego, CA 92128-3409 2006-09-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585371 Alicia Ford Behavior Technician 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 2020-07-08
1164087573 Madeleine White Dietitian, Registered 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 2019-05-01
1053807677 Joele Ghosn Speech-Language Pathologist 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 2018-07-06
1376034348 Eddie Reginald Burston II In Home Supportive Care 12727 Camino Emparrado, San Diego, CA 92128 2018-05-24
1336659218 Ryan Fong Physician Assistant 15004 Innovation Drive (s97), San Diego, CA 92128 2017-10-05
1508316191 Araceli Flores Behavioral Analyst 15737 Innovation Dr, Suite 200, San Diego, CA 92128 2016-10-07
1003283961 Katherine Dishner Hearing Instrument Specialist 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 2015-08-27
1205212586 Mobilia Dmd Inc. Point of Service 12405 Rancho Bernardo Rd., San Diego, CA 92128 2015-08-10
1346623634 Angela Christine Storck-petersen Dietitian, Registered 11768 Caminito Corriente, San Diego, CA 92128 2015-07-04
1134526874 Breeana Rose Lancaster Speech-Language Pathologist 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 2014-11-24
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275145138 Vishal Verma Md Inc Family Medicine 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128-4664 2020-08-20
1225651508 Charles N Le Medical Alliance, Professional Corp. Family Medicine 4440 Euclid Ave Ste A, San Diego, CA 92115-4522 2020-05-21
1457992927 Huong T L Nguyen Md Inc Family Medicine 4444 El Cajon Blvd Ste 6, San Diego, CA 92115-4392 2019-10-04
1265082838 Jessica Lynn Ross Family Medicine 1670 Kettner Blvd Apt 109, San Diego, CA 92101-2556 2019-09-16
1306406251 Patrick Sweet Md PC Family Medicine 4460 Teralta Pl, San Diego, CA 92103-1247 2019-06-13
1225503048 San Diego Health LLC Family Medicine 6610 Flanders Dr Ste 100, San Diego, CA 92121-3940 2018-10-08
1427553502 Behrang Dehkordi Md Inc Family Medicine 444 W C St Ste 185, San Diego, CA 92101-3597 2018-03-29
1245767037 Tam K Tran Family Medicine 7830 Clairemont Mesa Blvd Ste 100, San Diego, CA 92111-1632 2017-05-11
1912350455 Ruben G Flores Family Medicine 2470 Pine Street, San Diego, CA 92103 2016-07-20
1396124145 Chevon Alderson Family Medicine 4305 La Jolla Village Dr # 2518, San Diego, CA 92122-1270 2015-05-27
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Competitor

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City SAN DIEGO
Zip Code 92128

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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