Active NPI
Linda Margaret Waters, M.D.
- Specialist
- Palo Alto, CA
National Provider Identifier
1245259050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G49723
- Practice address
- 723 Emerson St
Palo Alto, CA 94301-2411 - Phone
- (650) 328-9646
- Fax
- (650) 328-9528
- NPI assigned
- Jul 19, 2006
- Last updated
- Feb 11, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G49723 | CA | Primary |
Addresses
Primary practice location
723 Emerson St
Palo Alto, CA 94301-2411
Mailing address
723 Emerson St
Palo Alto, CA 94301-2411
Phone (650) 328-9646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G497230 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49723 | CA | MD | Specialist |
| 49723 | CA | MD | Physical Therapy Assistant |
Interoperability endpoints
- linda.waters.1@14789.direct.athenahealth.com
- lwaters208078@santaclaravalley.direct-ci.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1245259050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 EMERSON ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012411",
"telephone_number": "650-328-9646",
"fax_number": "650-328-9528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 EMERSON ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012411",
"telephone_number": "650-328-9646",
"fax_number": "650-328-9528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "LINDA",
"middle_name": "MARGARET",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G49723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G497230",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "250 Hospital Pkwy",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "95119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.