Octavia Antoinette Watkins, PH.D

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

37025 La Contempo Ave
Palmdale, CA 93550-7351

Phone

(424) 789-0439

Fax

(323) 325-7163

NPI assigned

May 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Mrs. Octavia Antoinette Watkins Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Excellence Community Rehabilitation Program LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Palmdale, CA
  • NPI 1184342099
  NPD

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1053976811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 E PALMDALE BLVD STE G",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507801",
            "telephone_number": "424-789-0439",
            "fax_number": "323-325-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37025 LA CONTEMPO AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507351",
            "telephone_number": "424-789-0439",
            "fax_number": "323-325-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "OCTAVIA",
        "middle_name": "ANTOINETTE",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OCTAVIA",
            "last_name": "WATKINS",
            "middle_name": "ANTOINETTE",
            "prefix": "MRS.",
            "credential": "OCTAVIA WATKINS PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kanesia Washington
• Shawntae Marie Washington, DENTAL ASST.
• Theresa Lynn Washington I
• Elizabeth Wasil
• Luqman Yusef Watkins
• Jackie Watt
• Mavis Waugh
• Waypoint Care LLC
• Cymetria Webb
• Douglas Boyd Weber, DDS

• Developmentally Disabled Services Day Training Agency in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Developmentally Disabled Services Day Training Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.