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Scott L Bowen, MD

Emergency Medicine · Fresno

NPI 1043253909

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
5
Since medical school
39 years
Graduated 1987

Offices

5 locations · Clinica Sierra Vista · Family Healthcare Network

Looking this up.

Hospitals listed: 059683. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Bowen’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A49749 · Current

Licensed to practise in California · since 1991 · expires 2027-02-28 · Autonomous University of Guadalajara Faculty of Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Medicaid work

$746,441 in 2024

Medicaid paid $746,441 for 9,330 billed services this clinician did in 2024, up to 151 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Clinic visit/encounter, all-inclusive2,725$744,368
Short return visit (20+ min)3,925$1,398
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit60$290
Return visit (30+ min)446$228
Short return visit770$93
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular230$56
Hemoglobin A1C level79$9
Screening for depression is documented as negative, a follow-up plan is not required1,071$0
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed)24$0
Medicaid work by year
20249,3309151$746,441
202310,90413163$760,475
20228,6237168$596,189
20216,7077219$396,708
20207,7296263$350,803
20192,67815109$74,594
20186,27119133$72,100
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive3,184$757,556
Short return visit (20+ min)4,362$1,864
Short return visit1,639$796
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit31$151
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular414$61
Return visit (30+ min)50$38
Hemoglobin A1C level53$9
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, without microscopy23$2
Screening for depression is documented as negative, a follow-up plan is not required956$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)17$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)69$0
Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use22$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive2,502$594,215
Short return visit (20+ min)3,543$1,416
Short return visit1,624$558
Screening for depression is documented as negative, a follow-up plan is not required610$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)25$0
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular247$0
Injection, ketorolac tromethamine, per 15 mg72$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive2,366$396,135
Short return visit (20+ min)1,787$299
Short return visit801$187
Return visit (30+ min)1,621$86
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy20$0
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular39$0
Injection, ketorolac tromethamine, per 15 mg73$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive2,798$350,520
Return visit (30+ min)3,141$259
Short return visit (20+ min)1,218$24
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy58$0
Short return visit427$0
Injection, ketorolac tromethamine, per 15 mg87$0

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive473$53,012
EMERGENCY DEPT VISIT MOD MDM354$6,123
EMERGENCY DEPARTMENT VISIT HIGH MDM200$5,790
Service115$4,170
EMERGENCY DEPT VISIT LOW MDM486$3,895
COMPREHENSIVE METABOLIC PANEL127$633
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count130$280
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report45$270
Radiologic examination, chest; 2 views24$200
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy90$124
Service66$64
Troponin, quantitative12$33

2018

Largest Medicaid services in 2018
EMERGENCY DEPT VISIT MOD MDM1,250$18,510
EMERGENCY DEPARTMENT VISIT HIGH MDM724$16,800
EMERGENCY DEPT VISIT LOW MDM1,726$13,958
Service375$13,662
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only322$1,767
COMPREHENSIVE METABOLIC PANEL348$1,601
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug53$1,200
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report175$1,194
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count370$1,107
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy297$522
Radiologic examination, chest; 2 views72$508
Service28$356

Drugs they prescribed that Part D paid

$814,858

Pharmacies billed $814,858 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 15% of their Part D prescriptions (806 of 5,565) in 2024. Above the middle of the specialty; the typical emergency medicine clinician is at 12%. Long-acting opioids: 2% of their opioid prescriptions.

4,575 generic and 936 brand-name prescriptions · $814,858 in drug cost · 244 antibiotic prescriptions to 142 people · 46 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Ozempic149$141,975$953
Jardiance75$60,211$803
Metformin136$47,348$348
Mounjaro44$44,078$1,002
Eliquis46$35,486$771
See all 110 drugs
Every Part D drug this clinician prescribed
Ozempic149$141,975$953
Jardiance75$60,211$803
Metformin136$47,348$348
Mounjaro44$44,078$1,002
Eliquis46$35,486$771
Stiolto Respimat59$29,770$505
Januvia15$21,827$1,455
Trulicity21$21,247$1,012
Rybelsus17$17,351$1,021
Trelegy Ellipta24$17,104$713
Synjardy Xr11$16,391$1,490
Farxiga13$14,410$1,108
Janumet17$12,844$756
Tradjenta16$12,823$801
Diclofenac35$12,227$349
Linzess14$11,981$856
Entresto12$10,947$912
Basaglar Kwikpen U-10030$9,768$326
Hydrocodone-Acetaminophen647$9,475$15
Buprenorphine-Naloxone93$7,958$86
Toujeo Solostar11$7,012$637
Butorphanol11$4,722$429
Gabapentin205$3,489$17
Fluticasone Propionate36$3,113$86
Albuterol Sulfate Hfa128$3,093$24
Lantus Solostar30$2,601$87
Levothyroxine169$2,157$13
Sumatriptan12$1,641$137
Atorvastatin160$1,479$9
Ciclopirox24$1,229$51
Ultra-Fine Mini Pen Needle14$1,068$76
Omeprazole101$995$10
Liothyronine19$963$51
Kapspargo Sprinkle12$945$79
Oxycodone-Acetaminophen70$914$13
Hydroxyzine51$891$17
Losartan94$780$8
Tamsulosin64$767$12
Metoprolol60$689$11
Ventolin Hfa12$665$55
Ondansetron Odt43$607$14
Quetiapine27$557$21
Potassium Chloride23$538$23
Montelukast50$538$11
Ibuprofen66$532$8
Amlodipine Besylate88$529$6
Simvastatin54$518$10
Pantoprazole44$499$11
Memantine23$492$21
Nifedipine Er21$483$23
Ezetimibe13$482$37
Doxycycline Hyclate76$476$6
Trazodone92$474$5
Escitalopram40$449$11
Duloxetine14$413$29
Testosterone Cypionate20$401$20
Olanzapine19$400$21
Lisinopril110$399$4
Cyclobenzaprine62$383$6
Estradiol20$356$18
Acetaminophen-Codeine26$341$13
Omega-3 Acid Ethyl Esters21$338$16
Cephalexin17$311$18
Furosemide86$311$4
Neomycin-Polymyxin-Dexameth19$304$16
Losartan-Hydrochlorothiazide23$296$13
Terbinafine43$288$7
Famotidine21$288$14
Clopidogrel26$286$11
Oxycodone23$284$12
Tizanidine32$276$9
Baclofen17$276$16
Zolpidem57$273$5
Carvedilol43$267$6
Allopurinol19$259$14
Finasteride26$246$9
Alprazolam25$225$9
Lisinopril-Hydrochlorothiazide25$217$9
Nystatin16$213$13
Triamcinolone Acetonide15$212$14
Azithromycin65$205$3
Metoprolol25$200$8
Amoxicillin-Clavulanate Potass19$196$10
Nitrofurantoin Mono-Macro14$188$13
Sertraline41$185$5
Mupirocin30$166$6
Fluoxetine33$160$5
Pioglitazone24$160$7
Fluconazole17$159$9
Tramadol22$154$7
Ciprofloxacin32$154$5
Chlorthalidone11$138$13
Naproxen15$131$9
Donepezil21$120$6
Risperidone13$112$9
Mirtazapine14$108$8
Enalapril Maleate18$108$6
Meloxicam21$104$5
Pregabalin11$104$9
Lorazepam27$93$3
Ropinirole11$89$8
Clonidine11$81$7
Meclizine15$71$5
Norethindrone-E.Estradiol-Iron15$62$4
Atenolol13$60$5
Spironolactone15$56$4
Metformin Hcl Er11$53$5
Hydrochlorothiazide27$49$2
Alendronate17$41$2
Prednisone19$36$2

Year by year

Part D prescribing by year
20245,56534615% (806)17%$814,858
20234,88930710% (502)16%$634,824
20222,58032410% (244)None$266,440
20214681739% (40)None$21,621
202027515210% (26)None$3,872
201924714723% (57)11%$5,303
201850328823% (115)10%$13,115
201744924323% (104)None$10,888
201641523624% (101)None$11,458
201533819827% (90)None$6,313
201437321723% (86)11%$9,629
201329918829% (87)None$5,483

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 104 drugs

Part D drugs prescribed in 2023
Ozempic113$120,989$1,071
Jardiance41$37,293$910
Stiolto Respimat58$31,212$538
Eliquis35$27,168$776
Trulicity25$25,005$1,000
Mounjaro22$24,186$1,099
Linzess23$19,602$852
Rybelsus11$17,240$1,567
Trelegy Ellipta12$12,769$1,064
Farxiga17$12,311$724
Tradjenta18$12,260$681
Advair Hfa22$11,081$504
Hydrocodone-Acetaminophen414$9,386$23
Buprenorphine-Naloxone92$8,986$98
Toujeo Solostar16$8,313$520
Lantus Solostar19$7,295$384
Humalog Kwikpen U-10013$6,676$514
Movantik13$5,293$407
Gabapentin197$4,564$23
Atorvastatin162$3,777$23
Prempro11$3,138$285
Levothyroxine150$2,995$20
Albuterol Sulfate Hfa102$2,989$29
Omeprazole105$2,637$25
Lisinopril157$2,342$15
Fluticasone-Salmeterol11$2,041$186
Amlodipine Besylate124$1,726$14
Ventolin Hfa27$1,666$62
Pantoprazole50$1,641$33
Diclofenac42$1,592$38
Doxycycline Hyclate68$1,530$22
Tamsulosin49$1,445$29
Ciclopirox27$1,387$51
Memantine21$1,238$59
Metformin108$1,212$11
Terbinafine57$1,201$21
Montelukast56$1,125$20
Ezetimibe20$1,079$54
Carvedilol50$1,003$20
Pioglitazone16$989$62
Losartan68$968$14
Omega-3 Acid Ethyl Esters40$941$24
Furosemide103$921$9
Olanzapine17$898$53
Potassium Chloride23$896$39
Trazodone84$893$11
Nifedipine Er15$875$58
Ondansetron Odt39$867$22
Metoprolol36$845$23
Simvastatin44$802$18
Hydroxyzine26$799$31
Duloxetine17$728$43
Clopidogrel29$716$25
Ibuprofen56$687$12
Sertraline35$585$17
Quetiapine18$579$32
Lisinopril-Hydrochlorothiazide39$569$15
Metolazone14$567$41
Losartan-Hydrochlorothiazide16$565$35
Allopurinol24$531$22
Fluticasone Propionate26$482$19
Escitalopram28$474$17
Azithromycin85$474$6
Metoprolol23$461$20
Primidone12$450$37
Fluoxetine29$433$15
Cyclobenzaprine43$401$9
Finasteride26$394$15
Hydrochlorothiazide45$373$8
Acetaminophen-Codeine20$368$18
Famotidine17$355$21
Doxazosin Mesylate12$348$29
Oxybutynin Chloride12$337$28
Neomycin-Polymyxin-Dexameth15$332$22
Meloxicam39$331$8
Mupirocin29$324$11
Baclofen19$293$15
Bupropion Hcl Sr11$286$26
Digoxin11$283$26
Spironolactone22$282$13
Tizanidine18$278$15
Paroxetine15$272$18
Valacyclovir14$262$19
Propranolol14$250$18
Cephalexin16$242$15
Lactulose13$240$18
Tramadol46$227$5
Benazepril11$205$19
Mirtazapine11$192$17
Amoxicillin-Clavulanate Potass17$192$11
Lovastatin13$181$14
Estradiol21$172$8
Triamcinolone Acetonide13$146$11
Alendronate16$143$9
Sulfamethoxazole-Trimethoprim14$141$10
Clonidine12$136$11
Meclizine12$136$11
Naproxen11$118$11
Oxycodone14$116$8
Metformin Hcl Er16$111$7
Zolpidem12$89$7
Prednisone16$88$5
Ciprofloxacin11$71$6
Alprazolam11$59$5

2022: 55 drugs

Part D drugs prescribed in 2022
Ozempic20$18,735$937
Eliquis22$12,319$560
Stiolto Respimat18$9,748$542
Jardiance11$7,191$654
Hydrocodone-Acetaminophen196$5,379$27
Buprenorphine-Naloxone39$3,931$101
Albuterol Sulfate Hfa58$2,339$40
Gabapentin103$1,888$18
Ventolin Hfa23$1,490$65
Atorvastatin82$1,012$12
Doxycycline Hyclate35$1,005$29
Levothyroxine66$868$13
Omeprazole59$759$13
Lisinopril102$719$7
Montelukast27$595$22
Azithromycin84$537$6
Amlodipine Besylate72$492$7
Ondansetron Odt23$445$19
Mupirocin35$377$11
Simvastatin35$353$10
Trazodone44$350$8
Pantoprazole41$344$8
Metoprolol16$342$21
Losartan33$340$10
Tamsulosin34$328$10
Metformin44$327$7
Diclofenac19$327$17
Cephalexin22$316$14
Ibuprofen41$306$7
Furosemide43$287$7
Carvedilol27$273$10
Escitalopram32$248$8
Cyclobenzaprine26$228$9
Hydroxyzine17$218$13
Terbinafine27$213$8
Acetaminophen-Codeine14$213$15
Famotidine12$190$16
Amoxicillin-Clavulanate Potass11$173$16
Oxybutynin Chloride11$173$16
Fluoxetine23$172$7
Clopidogrel16$166$10
Tramadol26$133$5
Meloxicam11$131$12
Zolpidem11$128$12
Hydrochlorothiazide25$127$5
Finasteride11$127$12
Lisinopril-Hydrochlorothiazide19$125$7
Naproxen14$118$8
Metoprolol20$115$6
Triamcinolone Acetonide14$100$7
Sertraline19$92$5
Estradiol16$80$5
Lovastatin12$47$4
Prednisone14$33$2
Clonazepam11$19$2

2021: 11 drugs

Part D drugs prescribed in 2021
Hydrocodone-Acetaminophen26$400$15
Azithromycin31$276$9
Omeprazole21$164$8
Atorvastatin15$149$10
Sulfamethoxazole-Trimethoprim16$101$6
Ibuprofen17$101$6
Gabapentin13$100$8
Lisinopril18$92$5
Amlodipine Besylate18$88$5
Metformin17$67$4
Tramadol11$39$4

2020: 7 drugs

Part D drugs prescribed in 2020
Azithromycin44$258$6
Hydrocodone-Acetaminophen20$169$8
Sulfamethoxazole-Trimethoprim20$127$6
Mupirocin12$105$9
Ibuprofen21$69$3
Metformin11$31$3
Lisinopril11$29$3

2019: 6 drugs

Part D drugs prescribed in 2019
Ventolin Hfa13$734$56
Oxycodone-Acetaminophen40$288$7
Azithromycin29$253$9
Sulfamethoxazole-Trimethoprim15$145$10
Ciprofloxacin12$118$10
Ondansetron Odt11$73$7

2018: 12 drugs

Part D drugs prescribed in 2018
Ventolin Hfa25$1,383$55
Oxycodone-Acetaminophen95$722$8
Azithromycin53$695$13
Levofloxacin36$406$11
Nitrofurantoin Mono-Macro11$355$32
Hydrocodone-Acetaminophen14$235$17
Ciprofloxacin17$131$8
Sulfamethoxazole-Trimethoprim21$106$5
Ondansetron Odt14$95$7
Meclizine11$90$8
Lorazepam18$58$3
Prednisone13$34$3

2017: 9 drugs

Part D drugs prescribed in 2017
Ventolin Hfa29$1,541$53
Oxycodone-Acetaminophen96$642$7
Levofloxacin45$494$11
Azithromycin36$434$12
Metronidazole16$212$13
Ciprofloxacin17$123$7
Ondansetron12$88$7
Prednisone21$55$3
Lorazepam11$27$2

2016: 9 drugs

Part D drugs prescribed in 2016
Oxycodone-Acetaminophen88$801$9
Ventolin Hfa13$676$52
Levofloxacin37$642$17
Ciprofloxacin39$432$11
Azithromycin28$285$10
Clindamycin12$221$18
Prednisone19$94$5
Sulfamethoxazole-Trimethoprim17$82$5
Lorazepam13$63$5

2015: 7 drugs

Part D drugs prescribed in 2015
Oxycodone-Acetaminophen72$625$9
Ciprofloxacin56$589$11
Proair Hfa11$561$51
Azithromycin13$114$9
Lorazepam17$100$6
Sulfamethoxazole-Trimethoprim15$71$5
Prednisone14$65$5

2014: 7 drugs

Part D drugs prescribed in 2014
Proair Hfa18$886$49
Ciprofloxacin66$623$9
Oxycodone-Acetaminophen55$442$8
Ondansetron Odt16$184$11
Lorazepam21$94$4
Hydromorphone13$77$6
Prednisone14$46$3

2013: 9 drugs

Part D drugs prescribed in 2013
Ciprofloxacin49$435$9
Oxycodone-Acetaminophen49$277$6
Azithromycin20$238$12
Ondansetron Odt11$122$11
Famotidine11$87$8
Lorazepam16$67$4
Hydrocodone-Acetaminophen13$67$5
Hydromorphone12$63$5
Prednisone12$35$3

Money from drug and device companies

$213 in 2025

Industry payments by year
2025711None$213
202422None$44
202324None$60
202213None$142

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
AstraZeneca Pharmaceuticals LPBreztri$54
3 payments
  • Meals for Breztri · 2025-07-22 · $14
  • Meals for Breztri · 2025-05-06 · $19
  • Meals for Breztri · 2025-02-25 · $21
Lilly USAMounjaro$34
2 payments
  • Meals for Mounjaro · 2025-06-26 · $18
  • Meals for Mounjaro · 2025-04-01 · $16
Jazz PharmaceuticalsXywav$32
1 payment
  • Meals for Xywav · 2025-01-16 · $32
AmgenOtezla$29
2 payments
  • Meals for Otezla · 2025-11-04 · $14
  • Meals for Otezla · 2025-04-29 · $15
Bayer Healthcare PharmaceuticalsKerendia$29
1 payment
  • Meals for Kerendia · 2025-12-05 · $29
Novo NordiskNone$24
1 payment
  • Meals · 2025-07-24 · $24
See all 11 published payments
Every published payment
Bayer Healthcare PharmaceuticalsMeals · 2025-12-05Kerendia$29
AmgenMeals · 2025-11-04Otezla$14
Novo NordiskMeals · 2025-07-24None$24
AstraZeneca Pharmaceuticals LPMeals · 2025-07-22Breztri$14
Phathom PharmaceuticalsMeals · 2025-07-17Voquezna$11
Lilly USAMeals · 2025-06-26Mounjaro$18
AstraZeneca Pharmaceuticals LPMeals · 2025-05-06Breztri$19
AmgenMeals · 2025-04-29Otezla$15
Lilly USAMeals · 2025-04-01Mounjaro$16
AstraZeneca Pharmaceuticals LPMeals · 2025-02-25Breztri$21
Jazz PharmaceuticalsMeals · 2025-01-16Xywav$32
See earlier years (2024, 2023, 2022)

2024: $44

Payments by company in 2024
AstraZeneca Pharmaceuticals LPBreztri$22
1 payment
  • Meals for Breztri · 2024-01-30 · $22
Novo NordiskOzempic$22
1 payment
  • Meals for Ozempic · 2024-10-03 · $22

2023: $60

Payments by company in 2023
Lilly USAMounjaro$47
3 payments
  • Meals for Mounjaro · 2023-08-07 · $15
  • Meals for Trulicity · 2023-05-25 · $16
  • Meals for Mounjaro · 2023-04-13 · $17
Novo NordiskOzempic$13
1 payment
  • Meals for Ozempic · 2023-08-01 · $13

2022: $142

Payments by company in 2022
Lilly USAMounjaro$142
3 payments
  • Meals for Mounjaro · 2022-10-12 · $122
  • Meals for Trulicity · 2022-03-16 · $10
  • Meals for Trulicity · 2022-02-16 · $11

Professional record

NPI
1043253909
Licence
CA A49749California A49749: Current · expires 2027-02-28
Group
Clinica Sierra Vista · Family Healthcare Network
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X); General practice (208D00000X)
Mailing address
3645 W Shaw Ave Ste 101, Fresno, CA, 93711
NPI first listed
2006-06-14
NPI last updated
2025-10-16
NPI record certified
2025-10-16

This is when the NPI record was last certified, not a medical board exam.