JEFFREY BODWIN


Address: 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813
Phone: 7144465640

JEFFREY BODWIN (NPI# 1932195476) 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) 1932195476
Entity Type Individual
Full Name JEFFREY BODWIN
Credential MD
Practice Address 100 E Valencia Mesa Dr
Suite 105
Fullerton
CA 92835-3813
Mailing Address 279 Imperial Hwy
Suite 730
Fullerton
CA 92835-1041
Practice Telephone 7144465640
Practice Fax Number 7144465625
Mailing Telephone 7144494841
Mailing Fax Number 7144494956
Enumeration Date 2005-09-20
Last Update Date 2013-04-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine G46166 CA Allopathic & Osteopathic Physicians
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
G46166 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 100 E VALENCIA MESA DR
SUITE 105
City FULLERTON
State CA
Zip Code 92835-3813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891795449 Raed Ali Orthopaedic Surgery 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835-3813 2005-07-26
1083088678 Monica Martyn Dietitian, Registered 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 2015-11-19
1972991149 Megan Somerville Wroe Dietitian, Registered 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 2014-12-22
1457750762 Linda Cox Registered Nurse 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 2014-08-22
1952700320 Cynthia Crystal Carrasco-gonzalez Registered Nurse 100 E Valencia Mesa Dr, Suite 111, Fullerton, CA 92835-3813 2014-08-21
1548697311 Theodore Pastrana Md., Apc Preferred Provider Organization 100 E Valencia Mesa Dr, Ste. 100, Fullerton, CA 92835-3813 2013-10-10
1831526953 Kathryn V Woeckener Dietitian, Registered 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 2013-10-03
1588001267 Ricarda Benz Md, Inc Obstetrics & Gynecology 100 E Valencia Mesa Dr, Suite 215, Fullerton, CA 92835-3813 2013-06-04
1518302777 Gordon Gunn M.d Inc A Medical Corporation Specialist 100 E Valencia Mesa Dr, # 215, Fullerton, CA 92835-3813 2013-05-01
1770831521 Aileen Sabio Estrada Physician Assistant 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835-3813 2012-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538774302 Natalie Baugh Nutritionist 333 W Bastanchury Rd 110, Fullerton, CA 92835 2020-09-09
1073127098 Cecile Mae Sam Physical Therapist 2932 Clover Ct, Fullerton, CA 92835 2020-09-08
1861966087 Kimson F Johnston Marriage & Family Therapist 1370 Brea Blvd Suite 210, Fullerton, CA 92835 2019-01-22
1134636327 Michelle Harriman, Psychologist - A Professional Corporation Psychologist 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 2018-01-09
1659818631 Jacqueline Rene Miller Specialist/Technologist 2610 Associated Rd, Apt A4, Fullerton, CA 92835 2017-01-27
1912361106 John Nathaniel Alvarez Psychiatry & Neurology 401 E Imperial Highway, Fullerton, CA 92835 2016-04-13
1083075030 Advance Recovery Solution, LLC Substance Abuse Rehabilitation Facility 3744 N Hermosa Pl, Fullerton, CA 92835 2016-03-17
1467817981 Michele Ledesma Physical Therapy Assistant 2800 N. Harbor Blvd., Fullerton, CA 92835 2015-12-29
1467820571 Jonghan Kang Acupuncturist 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 2015-09-04
1265840987 Allison Leigh Kennedy Physician Assistant 100 Laguna Rd Ste 208, Fullerton, CA 92835 2014-07-25
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548422991 Shilpa J. Mehta Internal Medicine 100 E Valencia Mesa Dr Ste 105, Fullerton, CA 92835 2008-06-26
1033593744 Michael Kuo Internal Medicine 100 E Valencia Mesa Dr Ste 105, Fullerton, CA 92835-3816 2015-07-13
1154664597 Jason Ling Internal Medicine 100 E Valencia Mesa Dr Ste 105, Fullerton, CA 92835-3816 2013-04-04
1194707471 Serhat Aytug Internal Medicine 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 2005-11-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710590450 Napa Valley Internal Medicine Internal Medicine 999 Adams St Ste 201, Saint Helena, CA 94574-1149 2020-08-24
1821612565 Almoutaz Bellah Shakally Md, Inc Internal Medicine 7462 Schuyler Ct, Rancho Cucamonga, CA 91730-8305 2020-05-28
1366061863 Karen L. Herbst, Md, PC Internal Medicine 12381 Wilshire Blvd Ste 202, Los Angeles, CA 90025-1063 2020-04-14
1619502572 Pacific Endocrinology Internal Medicine 1855 1st Ave Ste 200b, San Diego, CA 92101-2685 2020-03-11
1659910743 Robert Alan Rubin Internal Medicine 403 Paseo Miramar, Redondo Beach, CA 90277-6288 2020-01-06
1336790914 Northeast Community Clinic Internal Medicine 4455 W 117th St Ste 502, Hawthorne, CA 90250-2261 2019-09-24
1124585393 Steady Health Inc Internal Medicine 100 Bush St Ste 1600, San Francisco, CA 94104-3918 2019-02-25
1780140673 Jennifer Anne Nuovo Internal Medicine 8880 Cal Center Dr Ste 300, Sacramento, CA 95826-3228 2019-02-15
1407324379 Chrysalis Health of California Internal Medicine 4592 Camino Del Mirasol, Santa Barbara, CA 93110-1003 2018-11-08
1881172864 Todd Lorenz Internal Medicine 5 Robert Rd, Orinda, CA 94563-3215 2018-08-01
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Competitor

Search similar providers

City FULLERTON
Zip Code 92835

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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