Provider Demographics
NPI:1265659890
Name:JOHN P. OWENS, M.D., INC
Entity Type:Organization
Organization Name:JOHN P. OWENS, M.D., INC
Other - Org Name:PEDIATRIC CARDIOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-448-2817
Mailing Address - Street 1:1688 WILLOW ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5109
Mailing Address - Country:US
Mailing Address - Phone:408-448-2817
Mailing Address - Fax:408-448-4807
Practice Address - Street 1:264 SAN JOSE ST STE C
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3936
Practice Address - Country:US
Practice Address - Phone:831-757-7722
Practice Address - Fax:831-757-7733
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PEDIATRIC CARDIOLOGY ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA952992080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABT8562301OtherDEA