Organization Active NPI

Venn-Watson Medical Corporation

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1811016934
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G22012 Issued in CA
Legal business name
VENN-WATSON MEDICAL CORPORATION
Practice address
3200 4TH Ave
Suite 100
San Diego, CA 92103-5716
Phone
(619) 293-3994
Fax
(619) 295-7389
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Dr. Edward Arthur Venn-Watson, M.D.NPI 1851307904
Title
President
Phone
(858) 487-4575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G22012 CA Primary

Addresses

Primary practice location

3200 4TH Ave
Suite 100
San Diego, CA 92103-5716

Mailing address

18737 Lunada PT
San Diego, CA 92128-1116
Phone (858) 487-4575

Other identifiers 1

IdentifierTypeStateIssuer
2048917MedicaidCA

National Provider Directory

National Provider Directory

Locations

365 S Rancho Santa Fe Rd
Ste 103
San Marcos, CA 92078
Phone (619) 293-3994

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1811016934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18737 LUNADA PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921281116",
            "telephone_number": "858-487-4575",
            "fax_number": "858-487-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 4TH AVE",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035716",
            "telephone_number": "619-293-3994",
            "fax_number": "619-295-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENN-WATSON MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "VENN-WATSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-487-4575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G22012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048917",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.