Active NPI
Michael Patrick Waters, MD
- Emergency Medicine Physician
- Chula Vista, CA
National Provider Identifier
1801829775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A90012
- Practice address
- 751 Medical Center CT
Department of Emergency Medicine
Chula Vista, CA 91911-6617 - Phone
- (619) 482-5825
- Fax
- (619) 482-5833
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A90012 | CA | Primary |
Addresses
Primary practice location
751 Medical Center CT
Department of Emergency Medicine
Chula Vista, CA 91911-6617
Mailing address
11184 Vista Sorrento Pkwy Apt 209
San Diego, CA 92130-7618
Phone (858) 481-4878
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
Locations
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
751 Medical Center Ct
#1182
Chula Vista, CA 91911
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Interoperability endpoints
- mwaters31781@scrippshlth.medalliesdirect.net
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Chula Vista, CA
- NPI 1457304529
-
- Emergency Medicine Physician
- Santa Ana, CA
- NPI 1548667843
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1801829775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11184 VISTA SORRENTO PKWY APT 209",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921307618",
"telephone_number": "858-481-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 MEDICAL CENTER CT",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116617",
"telephone_number": "619-482-5825",
"fax_number": "619-482-5833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A90012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.