Active NPI
Marshea Darlene Watson, D.C.
- Chiropractor
- San Leandro, CA
National Provider Identifier
1508187667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31571
- Practice address
- 1068 E 14TH St
San Leandro, CA 94577-3731 - Phone
- (510) 569-5500
- Fax
- (510) 569-5501
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31571 | CA | Primary |
Addresses
Primary practice location
1068 E 14TH St
San Leandro, CA 94577-3731
Mailing address
1068 E 14TH St Ste 310
San Leandro, CA 94577-3731
Phone (510) 569-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31571 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality of Life: a Chiropractic Wellness Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Oakland, CA
- NPI 1194001065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1508187667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1068 E 14TH ST STE 310",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945773731",
"telephone_number": "510-569-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1068 E 14TH ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945773731",
"telephone_number": "510-569-5500",
"fax_number": "510-569-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "MARSHEA",
"middle_name": "DARLENE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-11",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.