Luke R Watson MD Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

LUKE R WATSON MD INC

Practice address

2776 Pacific Ave
Long Beach, CA 90806

Phone

(562) 997-2232

Fax

(562) 997-2238

NPI assigned

Nov 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Luke R Watson, MDNPI 1881768653

Title

Med Director

Phone

(562) 997-2232

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luke R Watson, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Long Beach, CA
  • NPI 1881768653
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043384829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 CORPORATE AVE",
            "address_2": "SUITE 200",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630",
            "telephone_number": "714-236-4000",
            "fax_number": "714-236-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-997-2232",
            "fax_number": "562-997-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE R WATSON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MED DIRECTOR",
        "authorized_official_telephone_number": "562-997-2232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G603830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Lugo
• Denise Lugo
• Rosalva Lugo
• Diana Stephanie Lukaszka, NURSE PRACTITIONER
• Luke Family Medical Group Inc.
• Lukes Dietitians
• Jeany Dela Cruz Lumactod, NP
• Jenna Lumar
• Diana Lumbreras
• Lev Connor Luna Ibarra

• Anatomic Pathology & Clinical Pathology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.