Healthcare Provider Details

I. General information

NPI: 1083892236
Provider Name (Legal Business Name): CHRIS TOWERY MD, PA-C, NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2008
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31700 TEMECULA PKWY
TEMECULA CA
92592-5896
US

IV. Provider business mailing address

31700 TEMECULA PKWY
TEMECULA CA
92592-5896
US

V. Phone/Fax

Practice location:
  • Phone: 951-600-4338
  • Fax:
Mailing address:
  • Phone: 951-600-4338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA14062
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberL6335R
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number9710
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: