JEFFREY BODWIN MD NPI 1932195476

NPI Information

  • NPI: 1932195476
  • Provider Name: JEFFREY BODWIN, MD
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Individual
  • CLIA Number: 05D2280153
  • Address: 100 E VALENCIA MESA DR
    SUITE 105
    FULLERTON, CA
    ZIP 92835
  • Phone: (714) 446-5640

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NPI Details

Jeffrey Bodwin, MD is an endocrinology and diabetes and metabolism internal medicine in Fullerton, CA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Jeffrey Bodwin, MD NPI is 1932195476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 E VALENCIA MESA DR
SUITE 105
FULLERTON, CA
ZIP 92835-813
Phone: (714) 446-5640
Fax: (714) 446-5625

The CLIA number assigned to this NPI record is 05D2280153 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 4/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineG46166CALIFORNIANo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismG46166CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WG46166FMEDICARE PINCALIFORNIA
2A50310MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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