Active NPI
Brenda Bantados Watts, M.D.
- Internal Medicine Physician
- National City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A119649
- Practice address
- 1000 Euclid Ave
National City, CA 91950-3856 - Phone
- (619) 515-2399
- NPI assigned
- Jul 4, 2010
- Last updated
- Jun 1, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A119649 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 272664 | NY |
Addresses
Primary practice location
1000 Euclid Ave
National City, CA 91950-3856
Mailing address
1240 Broadway
El Cajon, CA 92021-4994
Phone (619) 515-2300
Other practice location 1
200 Varick St
New York, NY 10014-4810
Phone (212) 620-0340
Other practice location 2
1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, San Diego School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002
3555 Kenyon St
San Diego, CA 92110-5341
Phone (858) 499-2600
8701 Cuyamaca St
Santee, CA 92071-4253
Phone (858) 499-2600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A119649 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients |
Locations
1240 Broadway
El Cajon, CA 92021
Phone (619) 841-1310
5525 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 644-6600
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
Interoperability endpoints
- bwatts33368@sharphealthcare.direct-ci.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- Physical Therapist
- Chula Vista, CA
- NPI 1407096589
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590969600000",
"number": "1407168669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 BROADWAY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920214994",
"telephone_number": "619-515-2300",
"fax_number": "619-269-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EUCLID AVE",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919503856",
"telephone_number": "619-515-2399"
}
],
"practiceLocations": [
{
"address_1": "200 Varick St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100144810",
"country_code": "US",
"telephone_number": "212-620-0340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1809 National Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921132113",
"country_code": "US",
"telephone_number": "619-515-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTS",
"first_name": "BRENDA",
"middle_name": "BANTADOS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-04",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A119649",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "272664",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.