Timothy Watson, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A79382 Issued in CA

Practice address

6926 Brockton Ave Ste 6
Riverside, CA 92506-3804

Phone

(951) 779-1670

Fax

(951) 779-1679

NPI assigned

Jul 12, 2006

Sex

Male

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

Doctor of Medicine

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Mission Pediatrics, Inc.

  • Pediatrics Physician
  • Perris, CA
  • NPI 1679651921
  NPD (past) Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1730114968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9270",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923752470",
            "telephone_number": "951-779-1670",
            "fax_number": "951-779-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 BROCKTON AVE STE 6",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063804",
            "telephone_number": "951-779-1670",
            "fax_number": "951-779-1679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Commercenter E Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924083423",
            "country_code": "US",
            "telephone_number": "909-891-1913",
            "fax_number": "909-884-0810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Perris",
            "state": "CA",
            "postal_code": "925702010",
            "country_code": "US",
            "telephone_number": "951-943-4751",
            "fax_number": "951-657-3522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 W Vine St",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734762",
            "country_code": "US",
            "telephone_number": "909-891-1913",
            "fax_number": "909-881-0810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A79382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Nolan Watson, MD
• Kuronie Watson
• Letticia Watson
• Nicole Watson, AMFT
• Shanna Ray Watson
• Tireeka Watson
• Tammy Watt
• Davinique Simone Watters
• Samantha Watton
• Shaynisha Wattree

• Pediatrics Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.