Healthcare Provider Details

I. General information

NPI: 1659337749
Provider Name (Legal Business Name): DAVID WILLIAM DOWIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/13/2026
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1047 R ST
FRESNO CA
93721-1312
US

IV. Provider business mailing address

16725 FRONTIER TRAIL LN
CLOVIS CA
93619
US

V. Phone/Fax

Practice location:
  • Phone: 559-499-1690
  • Fax: 559-499-1697
Mailing address:
  • Phone: 559-298-8205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License NumberG32293
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberG 32293
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License NumberG32293
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberG32293
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License NumberG32293
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: