John Cowgar II, PA-C
Physician Assistant in San Diego, CA. Individual provider (NPI-1).
NPI number1457743395
StatusActive
Last updated in NPPESMar 2, 2015
Details
- NPI
- 1457743395
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Cowgar II
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2015
- Last updated
- Mar 2, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
2283 Oliver AveSan Diego, CA 92109-5612
Phone 985-290-4169
Mailing address
2283 Oliver AveSan Diego, CA 92109-5612
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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