Anne Randolph Van de Water, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G38375 Issued in CA

Practice address

31096 Flying Cloud Dr
Laguna Niguel, CA 92677-2714

Phone

(949) 487-7262

NPI assigned

Mar 18, 2013

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1720320666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6297",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926076297",
            "telephone_number": "949-487-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31096 FLYING CLOUD DR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772714",
            "telephone_number": "949-487-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DE WATER",
        "first_name": "ANNE",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G38375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Urbank, PH.D.
• Carla A Ursetta, O.D.
• Pricila Valdez
• Michael James Valencia
• Victoria Lynn Valensky, FNP
• Caylin Alexis Vanoni, PTA
• Nazaret Gaspar Varzhapetyan, PHARM.D.
• Jose Gabriel Vasquez
• Gracie Vaughn, LVN
• Kristina Louise Vellucci-Cook

• Obstetrics & Gynecology Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.