Individual provider Active NPI

Walter William Watson, M.D.

  • Anesthesiology Physician
  • Inglewood, CA
National Provider Identifier
1225066855
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C41555 Issued in CA
Practice address
555 E Hardy St
Inglewood, CA 90301-4011
Phone
(310) 673-4660
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C41555 CA
Anesthesiology Physician 207L00000X C41555 CA Primary
Pain Medicine Physician 208VP0000X C41555 CA
Interventional Pain Medicine Physician 208VP0014X C41555 CA

Addresses

Primary practice location

555 E Hardy St
Inglewood, CA 90301-4011

Mailing address

PO Box 3098
Torrance, CA 90510-3098
Phone (310) 792-3914

Other identifiers 1

IdentifierTypeStateIssuer
00C415550MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000268 CA Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 5193895639 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pediatric Medicine
Education
Tulane University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tip Top Anesthesia Group IncGroup PAC ID 0941429872, 45 clinicians
Perioperative Anesthesia ConsultantsGroup PAC ID 1658779632, 8 clinicians

Practice addresses (Care Compare)

1001 Tower Way
Suite 150
Bakersfield, CA 93309-1586
Phone (310) 779-3025

3445 Pacific Coast Hwy
Suite 110
Torrance, CA 90505-6659
Phone (310) 325-4555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C41555CAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perioperative Anesthesia Consultants Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Jun 24, 2022 Accepting new patients
Tip Top Anesthesia Group Inc CurrentSince Apr 29, 2024 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation Anesthesiology CurrentSince Jun 24, 2022 Accepting new patients
Newport Harbor Anesthesia Consultants Medical Group Inc Anesthesiology Past Accepting new patients
Providence Health System Southern California Interventional Pain Medicine Past Accepting new patients
Trias Global, LLC Past Accepting new patients

Locations

1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025

50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896

1127 Wilshire Blvd
Ste 1000
Los Angeles, CA 90017
Phone (213) 328-3600

6801 Park Ter
Ste 300
Los Angeles, CA 90045
Phone (310) 655-7200

514 N Prospect Ave
Ste 100
Redondo Beach, CA 90277
Phone (310) 376-2007

371 Van Ness Way
Ste 210
Torrance, CA 90501

3445 Pacific Coast Hwy
Ste 110
Torrance, CA 90505
Phone (310) 325-4555

3445 Pacific Coast Hwy
Ste 120
Torrance, CA 90505
Phone (310) 325-4555

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1225066855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3098",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103098",
            "telephone_number": "310-792-3914",
            "fax_number": "310-792-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E HARDY ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014011",
            "telephone_number": "310-673-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "WALTER",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C41555",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C41555",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "C41555",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "C41555",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C415550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.