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

Jeremy R Fowler, MD

Individual provider Family Medicine Physician · NPI 1922206143

Jeremy R Fowler, MD is a Family Practice in Scotts Valley, California. Qualified in 2006, 20 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2007
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

4663 Scotts Valley Dr
Scotts Valley, CA 95066-4202
Phone: (831) 458-6330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence C158759 (CA)

Record details

NPI number1922206143
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESJanuary 11, 2022
Certification dateJanuary 11, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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