Vincent Roy Fowler (NPI# 1548368749, PAC ID# 4880725860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1548368749 |
| PAC ID by PECOS | 4880725860 |
| Professional Enrollment ID | I20100708000782 |
| Full Name | Vincent Roy Fowler |
| Organization Legal Name | PACIFIC DERMATOLOGY INSTITUTE |
| Address |
9041 Magnolia Ave Suite 206 Riverside CA 92503-3956 |
| Phone Number | 9513542220 |
| Gender | M |
| Graduation Year | 1973 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2062546260 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 240 Newport Ctr Dr, Suite 105, Newport Beach, CA 92660-7538 | 9513542220 | PACIFIC DERMATOLOGY INSTITUTE |
| 9041 Magnolia Ave, Suite 206, Riverside, CA 92503-3956 | 9513542220 | PACIFIC DERMATOLOGY INSTITUTE |
| Organization Legal Name | PACIFIC DERMATOLOGY INSTITUTE |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Iryna O Kinzer | Physician Assistant | Pacific Dermatology Institute | 930 E Foothill Blvd, Suite 1, Upland, CA 91786-4051 |
| Thomas G Munyon | Dermatology | Pacific Dermatology Institute | 1481 Ford St, Suite 102, Redlands, CA 92373-3917 |
| Leon Edward Schwartz | Dermatology | Pacific Dermatology Institute | 240 Newport Ctr Dr, Suite 105, Newport Beach, CA 92660-7538 |
| Jonathan Philip Igo | Nurse Practitioner | Pacific Dermatology Institute | 9041 Magnolia Ave, Suite 206, Riverside, CA 92503-3956 |
| Britney E Kaufman | Physician Assistant | Pacific Dermatology Institute | 930 E Foothill Blvd, Suite 1, Upland, CA 91786-4051 |
| Jessica M St Jules | Physician Assistant | Pacific Dermatology Institute | 2140 Grand Ave, Suite 260, Chino Hills, CA 91709-6806 |
| Tiffiny Suzanne Pizzifred | Nurse Practitioner | Pacific Dermatology Institute | 240 Newport Ctr Dr, Suite 105, Newport Beach, CA 92660-7538 |
| Krystalee A Krey | Physician Assistant | Pacific Dermatology Institute | 255 Terracina Blvd, Suite 205c, Redlands, CA 92373-4870 |
| John E Nicolaisen | Physician Assistant | Pacific Dermatology Institute | 18523 Corwin Rd, Suite G, Apple Valley, CA 92307-2300 |
| Andrea Rose Wanless | Physician Assistant | Pacific Dermatology Institute | 930 E Foothill Blvd, Suite 1, Upland, CA 91786-4051 |
| Street Address |
9041 MAGNOLIA AVE SUITE 206 |
| City | RIVERSIDE |
| State | CA |
| Zip | 92503-3956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean Everly Lafontant | Preventative Medicine | Parkview Medical Group Inc | 9041 Magnolia Ave, Suite 107, Riverside, CA 92503-3942 |
| Jonathan Philip Igo | Nurse Practitioner | Pacific Dermatology Institute | 9041 Magnolia Ave, Suite 206, Riverside, CA 92503-3956 |
| Luther Mangoba | Family Medicine | 9041 Magnolia Ave, Suite 8, Riverside, CA 92503-3941 | |
| Ihearnacho Emeruwa | Obstetrics/gynecology | 9041 Magnolia Ave, Suite 305, Riverside, CA 92503-3900 | |
| Steven J Fischer | Physician Assistant | Pacific Dermatology Institute | 9041 Magnolia Ave, Suite 206, Riverside, CA 92503-3956 |
| Andrea D Anderson | General Practice | 9041 Magnolia Ave, Suite 6, Riverside, CA 92503-3941 | |
| Jennifer Lucatero | Physician Assistant | Pacific Dermatology Institute | 9041 Magnolia Ave, Suite 206, Riverside, CA 92503-3956 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryam Poursartip | Internal Medicine | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Khadija H Hamisi | Nurse Practitioner | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Conrado Martinez | Physician Assistant | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Naomie D De La Cruz-novelo | Physician Assistant | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Linh A Ngo | Optometry | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Guillermo Saenz Zavala | Family Medicine | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Denise L Chapin | Nurse Practitioner | Borrego Community Health Foundation | 8856 Arlington Ave, Riverside, CA 92503-1365 |
| Christine P Duong | Nurse Practitioner | Joseph M Molina Md Professional Corporation-southern California | 5549 Van Buren Blvd, Riverside, CA 92503-2068 |
| Luke S Won | Podiatry | 9025 Colorado Ave, Riverside, CA 92503-2157 | |
| Katherine Elizabeth Robb Ramirez | Physical Medicine and Rehabilitation | West Coast Health and Rehab, PC | 4000 Harrison St, Riverside, CA 92503-3514 |
| Find all physicians in zip 92503 | |||
| City | RIVERSIDE |
| Zip Code | 92503 |
| Specialty | DERMATOLOGY |
| City + Specialty | RIVERSIDE + DERMATOLOGY |
Please comment or provide details below to improve the information on Vincent Roy Fowler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.