Organization Active NPI

Watermark Physician Associates

  • Neurology Physician
  • Newport Beach, CA
National Provider Identifier
1114598927
Registry record updated Jul 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
WATERMARK PHYSICIAN ASSOCIATES
Practice address
20331 Irvine Ave Ste E2
Newport Beach, CA 92660-0223
Phone
(281) 346-3480
Fax
(281) 462-4106
NPI assigned
Jul 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2021

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

Authorized official

Name
Elizabeth Martinez
Title
Billing Manager
Phone
(281) 346-3480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

20331 Irvine Ave Ste E2
Newport Beach, CA 92660-0223

Mailing address

20331 Irvine Ave Ste E2
Newport Beach, CA 92660-0223
Phone (281) 346-3480

National Provider Directory

National Provider Directory

Locations

20331 Irvine Ave
Ste E2
Newport Beach, CA 92660
Phone (619) 200-4140

NPI Registry JSON

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625270400000",
    "number": "1114598927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20331 IRVINE AVE STE E2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600223",
            "telephone_number": "281-346-3480",
            "fax_number": "281-462-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20331 IRVINE AVE STE E2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600223",
            "telephone_number": "281-346-3480",
            "fax_number": "281-462-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK PHYSICIAN ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-03",
        "last_updated": "2021-07-03",
        "certification_date": "2021-07-03",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "281-346-3480"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2021; 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.