Darren Michael Watters, ATC, EMT, FF, MA

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

3041 W Avenue K
Lancaster, CA 93536-5426

Phone

(661) 722-6300

NPI assigned

Mar 29, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician, Master of Arts

State licenses

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1265136576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5834 GEM CT",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365602",
            "telephone_number": "661-202-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 W AVENUE K",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365426",
            "telephone_number": "661-722-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTERS",
        "first_name": "DARREN",
        "middle_name": "MICHAEL",
        "credential": "ATC, EMT, FF, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "CA",
            "license": "E073489",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000025473",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latanya Washington
• Christy S. Waters, MD
• Macy Watkins
• Cecilia Jacomina Watson, RPH
• Kandy Michelle Watson, B.A.
• Katrina Andreya Watters
• Geraldine Anne Watts, M.A
• Michael Calvin Watts, SUDRC18554
• Sonjia Watts
• Wayne J Hodges Chiropractic a Professional Corporation

• Health Educator in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Health Educator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.