Howard Paul Waters Jr., M.D.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

A42041 Issued in CA

Practice address

6485 Day St Ste 302
Riverside, CA 92507-0926

Phone

(951) 653-5291

Fax

(951) 653-2440

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639188899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 E WILDWOOD CANYON DR",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414022",
            "telephone_number": "626-335-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 DAY ST STE 302",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070926",
            "telephone_number": "951-653-5291",
            "fax_number": "951-653-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "HOWARD",
        "middle_name": "PAUL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A42041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Verina Wassef
• Eric Wasson
• Watanabe and to Dental Corporation
• Elizabeth Rose Watanabe, OTR/L
• Diane Marie Waters, LCSW
• Aniya Watkins
• Brittany Lashae' Watkins
• Hubert Charles Watkins, MD
• Shianne Watkins
• Ashley Watson

• Occupational Medicine Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.