Individual provider Active NPI

Elizabeth Grace Watson

  • Pain Medicine (Anesthesiology) Physician
  • Fountain Valley, CA
National Provider Identifier
1457858227
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A187551 Issued in CA
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

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131005069 CA Practitioner - Pain Management 3173976685 Reassigns benefits to 1 organization

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
Reekeshrpatelmd IncGroup PAC ID 7416255039, 5 clinicians

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

LicenseStateTypeSpecialty
A187551CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Anesthesia Inc. Pain Medicine CurrentSince Sep 1, 2019 Accepting new patients
Reekeshrpatelmd Inc CurrentSince Feb 1, 2026 Accepting new patients
Medhat F. Mikhael, M.D., Inc Pain Medicine CurrentSince Nov 26, 2023 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.

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

Sources for this page

Verify at the official NPI Registry.