Healthcare in Action Medical Group Waterman P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HEALTHCARE IN ACTION MEDICAL GROUP WATERMAN P.C.

Practice address

2810 W Charleston Blvd Ste 71
Las Vegas, NV 89102-1909

Phone

(562) 308-1195

NPI assigned

Jun 2, 2026

Last updated

Sep 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Haynes, RN

Title

Sr. Director, Compliance

Phone

(818) 434-1977

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1740112770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 71",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021909",
            "telephone_number": "562-308-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 71",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021909",
            "telephone_number": "562-308-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE IN ACTION MEDICAL GROUP WATERMAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SR. DIRECTOR, COMPLIANCE",
        "authorized_official_telephone_number": "818-434-1977",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.