Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Vincent Roy Fowler, MD

Individual provider Dermatology Physician · NPI 1548368749

Dr. Vincent Roy Fowler, MD is a Dermatology in Riverside, California. Qualified in 1973, 53 years ago. Practices with Pacific Dermatology Institute, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
53
Licensed in
AZ, CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9041 Magnolia Ave Ste 206
Riverside, CA 92503-3956
Phone: (951) 354-2220
Fax: (951) 354-2218
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1242 E McKellips Rd, Mesa, AZ 85203-2763 — (480) 962-4269

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 42759 (AZ)
Dermatology Physician Taxonomy 207N00000X · Licence A30049 (CA)

Record details

NPI number1548368749
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJune 14, 2019
Mailing address9041 Magnolia Ave Ste 206, Riverside, CA 92503-3956

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Group practice Pacific Dermatology Institute — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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