Watson A Desa, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A32717 Issued in CA

Practice address

3851 Katella Ave Ste 305
Los Alamitos, CA 90720-3390

Phone

(562) 594-6080

Fax

(562) 594-6030

NPI assigned

May 26, 2006

Last updated

Apr 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary Medical Center Hospital, Long Beach, CA, CCN 050191
• Uci Health-Orange Hospital, Orange, CA, CCN 050348

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Watson a. Desa, MD, a Medical Corp

  • Medical Specialty Clinic/Center
  • Long Beach, CA
  • NPI 1982616439
  Medicare reassignment NPD Authorized official
• Adoracion Reyes MD a Professional Medical Corporation

  • Family Nurse Practitioner
  • Artesia, CA
  • NPI 1457196164
  Medicare reassignment NPD
• Department of State Hospitals

  dba Coalinga State Hospital

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Department of State Hospitals

  dba Department of State Hospitals-Atascadero

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD
• Department of State Hospitals

  dba Department of State Hospitals - Metropolitan

  • Psychiatric Hospital
  • Norwalk, CA
  • NPI 1265406565
  NPD
• Shivanand R Pole MD Inc

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1598042178
  NPD

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

• Dignity Health

  dba St. Mary Medical Center

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  Care Compare affiliation
• University of California Irvine

  dba University of California Irvine - Cac Urgent Care

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  dba Uci Health

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1235185620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 305",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203390",
            "telephone_number": "562-594-6080",
            "fax_number": "562-594-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 305",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203390",
            "telephone_number": "562-594-6080",
            "fax_number": "562-594-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESA",
        "first_name": "WATSON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A32717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Paul Delaurier, M.D.
• Lana Delshadi, ED.D.
• Denise Joseph-Brown, MD, Inc
• Jackson L Denton
• Derick Pham DMD, Inc (OC Dental Spa)
• Ronak Desai
• Lauren Nicole Dewiggins, PA-C
• Larry J. Diamond, D.D.S.
• Nicolas Phillip Diaz
• Jane Ellen Digiovanni, DPM

• Interventional Cardiology Physician in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.