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THEODORE WILLIAM FOWLER
NPI 1487162962
Counselor - Addiction (Substance Use Disorder) in San Jose, CA

Active since January 18, 2018
650 S BASCOM AVE, SAN JOSE, CA 95128(408) 283-8555 Get Directions Write a Review

NPPES record last updated: January 18, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Theodore William Fowler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE WILLIAM FOWLER (NPI 1487162962) is an individual addiction (substance use disorder) provider in San Jose, California, licensed in California (R1208500715) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1487162962
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTHEODORE WILLIAM FOWLER
Location Address650 S BASCOM AVESan Jose, CA 95128-2601
Mailing Address650 S Bascom AveSan Jose, CA 95128-2601 · (408) 283-8555
Phone(408) 283-8555
Sole ProprietorYes
Enumeration DateJanuary 18, 2018
✔ NPI 1487162962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1208500715
650 S BASCOM AVE, San Jose, CA 95128
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD ACACCIA
Counselor (Addiction (Substance Use Disorder))
650 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 283-8555
ALEXANDRA LYNNE WOODCOCK MD
Obstetrics & Gynecology (Complex Family Planning)
650 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 885-5558
SATSUKI HILL
Counselor (Addiction (Substance Use Disorder))
650 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 283-8554
ERIN OKRAND
Counselor (Mental Health)
650 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 283-8555
FELIPE M SANCHEZ
Counselor (Addiction (Substance Use Disorder))
650 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 283-8555
ILDELISA SANDOVAL
Case Manager/Care Coordinator
650 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 888-3165
FELICIA NICOLE DAILY RADT 1
Counselor (Addiction (Substance Use Disorder))
650 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 283-8555
ELLA THOMAS
Rehabilitation Practitioner
650 S BASCOM AVE
SAN JOSE, CA 95128
Santa Clara County (408) 261-7777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Fowler's NPI number?

The NPI number for Theodore Fowler is 1487162962. It was assigned to this individual provider in the NPPES registry on January 18, 2018.

Where is Theodore Fowler located?

Theodore Fowler practices at 650 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 283-8555.

What is Theodore Fowler's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Theodore Fowler was last updated on January 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.