MICHAEL BASTIEN NOWAK
NPI 1801382494
Nurse Practitioner - Family in Santa Rosa, CA

Active since July 06, 2018
751 LOMBARDI CT, SANTA ROSA, CA 95407(360) 733-6114 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Bastien Nowak NPPES

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

MICHAEL BASTIEN NOWAK (NPI 1801382494) is an individual family provider in Santa Rosa, California, licensed in California (95009174) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1801382494
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL BASTIEN NOWAK
Location Address751 LOMBARDI CTSanta Rosa, CA 95407-6798
Mailing Address204 W 4th St Apt 13Port Angeles, WA 98362-2835 · (360) 733-6114
Sole ProprietorNo
Enumeration DateJuly 6, 2018
NPI 1801382494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 95009174 Licensed in WA · AP60864126
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60149798 (WA), 95164925 (CA)
751 LOMBARDI CT, Santa Rosa, CA 95407

Other Names 1

Other Name (5)Mike Nowak Aprn (nurse Pract.)

Other Identifiers 5

OtherAP60864126WA · Wa Aprn License Number
OtherRN60149798WA · Wa Rn Liscense
Other95164925CA · Ca Rn Liscense
Other95009174CA · Ca Aprn License Number
Other95009174CA · Ca Nurse Practitioner Furnishing Number

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.

Nurse Practitioner (Psychiatric/Mental Health)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Family Medicine (Addiction Medicine)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Dentist (Dental Public Health)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Dentist (General Practice)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Registered Nurse
751 LOMBARDI CT
SANTA ROSA, CA 95407
Nurse Practitioner (Family)
751 LOMBARDI CT, SUITE A
SANTA ROSA, CA 95407
Nurse Practitioner (Family)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Nurse Practitioner (Family)
751 LOMBARDI CT, SUITE A
SANTA ROSA, CA 95407

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 Michael Nowak's NPI number?

The NPI number for Michael Nowak is 1801382494. It was assigned to this individual provider in the NPPES registry on July 6, 2018. The provider is also known as Mike Nowak Aprn (nurse Pract.).

Where is Michael Nowak located?

Michael Nowak practices at 751 Lombardi Ct, Santa Rosa, CA 95407. The listed phone number is (360) 733-6114.

What is Michael Nowak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Michael Nowak was last updated on July 6, 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.