Individual ProviderRebecca NowakGeneral PracticeAllopathic & Osteopathic PhysiciansPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-0004(619) 532-6400PECOS EnrollmentBased on the most recent information from CMS, provider Rebecca Nowak does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1497498513Provider TypeIndividualFull NameNowak, RebeccaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/16/2022Last Updated5/29/2025Contact InformationPractice LocationPractice Address34800 Bob Wilson Dr, San Diego, CA 92134-0004Phone(619) 532-6400FaxUnlisted FaxMailing LocationMailing Address34800 Bob Wilson Dr, San Diego, CA 92134-5000Phone(619) 532-6400FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense0101279697VirginiaCode171000000XDescriptionMilitary Health Care ProviderOther Service ProvidersLicense0101279697Virginia