Brian I. Watanabe, M.D., Inc.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G83423 Issued in CA

Legal business name

BRIAN I. WATANABE, M.D., INC.

Practice address

24953 Paseo de Valencia
Suite 15C
Laguna Hills, CA 92653-4342

Phone

(949) 770-9300

Fax

(949) 770-9310

NPI assigned

Dec 13, 2009

Last updated

Apr 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian I. Watanabe, M.D.NPI 1831262203

Title

President / Owner

Phone

(949) 770-9300

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian I Watanabe, MD

  • Vascular Surgery Physician
  • Laguna Hills, CA
  • NPI 1831262203
  Authorized official Same address or phone
• Lorelei C Achor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Laguna Hills, CA
  • NPI 1417999244
  NPD (past)
• Ralph Lowell Cummings, MD

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1003941246
  NPD (past)
• Louie G Mahairas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Laguna Hills, CA
  • NPI 1598843740
  NPD (past)
• Michael Jaroslav Stastny, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hacienda Heights, CA
  • NPI 1093058216
  NPD (past)

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

{
    "created_epoch": "1260662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1417286980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "SUITE 15C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-770-9300",
            "fax_number": "949-770-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24953 PASEO DE VALENCIA",
            "address_2": "SUITE 15C",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534342",
            "telephone_number": "949-770-9300",
            "fax_number": "949-770-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN I. WATANABE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-13",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "WATANABE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "949-770-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G83423",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G83423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1831262203",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GM680A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Kaldor Bremner, MD
• Carlos Enrique Brenes, AMFT
• Brent Ridder, MD,Inc.
• Brian D Kim DDS Inc (Brian Dental Care)
• Brian Hwang MD, Inc
• Kristina M. Brickey, COTA/L
• Bridge Teen Recovery, LLC
• Bright Circle Caregivers Inc
• Megan Bright, MFT 86922
• Melaney Marie Bright

• Vascular Surgery Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.