Provider Demographics
NPI:1750393625
Name:BOWNES, PATRICK B (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:B
Last Name:BOWNES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 OFARRELL ST
Mailing Address - Street 2:SUITE 1204
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1963
Mailing Address - Country:US
Mailing Address - Phone:760-405-3901
Mailing Address - Fax:760-405-3901
Practice Address - Street 1:575 OFARRELL ST
Practice Address - Street 2:SUITE 1204
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1963
Practice Address - Country:US
Practice Address - Phone:760-405-3901
Practice Address - Fax:760-405-3901
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG72224207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G722240Medicaid
CA00G722240OtherBLUE SHIELD OF CA
CAF09009Medicare UPIN
CA00G722240OtherBLUE SHIELD OF CA
CAWG72224BMedicare ID - Type Unspecified
CAP00868419Medicare PIN
CADX538ZMedicare PIN
CA00G722240Medicaid