Active NPI
Elizabeth Grace Watson
- Pain Medicine (Anesthesiology) Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- A187551
- Practice address
- 18035 Brookhurst St Ste 1200
Fountain Valley, CA 92708-6738 - Phone
- (714) 963-7240
- NPI assigned
- Apr 9, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A187551 | CA | Primary |
Addresses
Primary practice location
18035 Brookhurst St Ste 1200
Fountain Valley, CA 92708-6738
Mailing address
6 Eastwind St Apt 310
Marina del Rey, CA 90292-7822
Phone (661) 755-1122
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
- Pain Management
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4477 W 118TH St
Suite 501
Hawthorne, CA 90250-2260
Phone (213) 465-0994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A187551 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky Anesthesia Inc. | Pain Medicine | Current | Accepting new patients |
| Reekeshrpatelmd Inc | Current | Accepting new patients | |
| Medhat F. Mikhael, M.D., Inc | Pain Medicine | Current | Accepting new patients |
Locations
18035 Brookhurst St
Ste 1200
Fountain Vly, CA 92708
Phone (714) 963-7240
18255 Brookhurst St
Ste 100
Fountain Vly, CA 92708
Phone (714) 378-5330
295 Imperial Hwy
Ste 100
Fullerton, CA 92835
Phone (714) 770-8366
4477 W 118th St
Ste 302
Hawthorne, CA 90250
Phone (310) 644-5353
4477 W 118th St
Ste 501
Hawthorne, CA 90250
Phone (310) 679-9999
16787 Beach Blvd
Huntington Beach, CA 92647
Phone (657) 204-6014
24411 Health Center Dr
Ste 610
Laguna Hills, CA 92653
Phone (714) 963-7240
3620 Atlantic Ave
Long Beach, CA 90807
Phone (562) 595-0060
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine Physician
- Hawthorne, CA
- NPI 1225493356
-
dba Pain Medicine Associates
- Pain Medicine Physician
- Fountain Valley, CA
- NPI 1053341933
-
- Pain Medicine (Anesthesiology) Physician
- Hawthorne, CA
- NPI 1962050401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1457858227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 EASTWIND ST APT 310",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927822",
"telephone_number": "661-755-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18035 BROOKHURST ST STE 1200",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086738",
"telephone_number": "714-963-7240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "ELIZABETH",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A187551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
- Eliza Warren, RN
- John Alan Warren, D.C.
- Nikhil Pulpet Warrier, M.D.
- Fritzi Washington
- Wasim H Raja MD
- Shanelle Watson
- Michael Watts, PHARM.D
- Wave Imaging, LLC (Memorialcare Imaging Center-Fountain Valley)
- Waves of Peace, an Individual and Family Counseling Corporation (Waves of Peace Counseling Services)
- Matthew Morichetti Weaver, BT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.