Marjorie Leigh Waters, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10497 Issued in CA

Practice address

1526 Plumas CT
Suite 400
Yuba City, CA 95991-2961

Phone

(530) 674-0160

Fax

(530) 674-0110

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Allan R Au MD Inc

  • Allergy & Immunology Physician
  • Elk Grove, CA
  • NPI 1235280793
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659592129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 PLUMAS CT",
            "address_2": "SUITE 400",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912961",
            "telephone_number": "530-674-0160",
            "fax_number": "530-674-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 PLUMAS CT",
            "address_2": "SUITE 400",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959912961",
            "telephone_number": "530-674-0160",
            "fax_number": "530-674-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "MARJORIE",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA10497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert T. Wankmuller Sr., M.D.
• Stanley Ward
• Bathsheba Wariso, MD
• Lily Elizabeth Kathleen Warner
• Jessica Christine Warren, ACSW
• Jean Ann Watkins
• Sheri Jo Watson, PSYCH TECH
• Tin M Way, M.D.
• Courtney Weaver
• Jeanie I. Webb, F.N.P.

• Physician Assistant in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Physician Assistant 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.