Active NPI
Tammy Gay Watson
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
National Provider Identifier
1255685509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 3975 Goldfinch St Ste 1
San Diego, CA 92103-2994 - Phone
- (858) 483-4247
- Fax
- (858) 724-3015
- NPI assigned
- Nov 7, 2012
- Last updated
- Mar 4, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3975 Goldfinch St Ste 1
San Diego, CA 92103-2994
Mailing address
3975 Goldfinch St Ste 1
San Diego, CA 92103-2994
Phone (858) 483-4247
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hair Extension Connection | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551657600000",
"number": "1255685509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3975 GOLDFINCH ST STE 1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032994",
"telephone_number": "858-483-4247",
"fax_number": "858-724-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 GOLDFINCH ST STE 1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032994",
"telephone_number": "858-483-4247",
"fax_number": "858-724-3015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "TAMMY",
"middle_name": "GAY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-07",
"last_updated": "2019-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.