Active NPI
Yasmen Watanabe
- Family Nurse Practitioner
- Rocklin, CA
National Provider Identifier
1831745538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95009815
- Practice address
- 5130 Commons Dr Unit 302
Rocklin, CA 95677-3922 - Phone
- (916) 345-1455
- NPI assigned
- Aug 18, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95009815 | CA | Primary |
Addresses
Primary practice location
5130 Commons Dr Unit 302
Rocklin, CA 95677-3922
Mailing address
8097 Concerto Way
Roseville, CA 95747-8641
Phone (916) 601-6546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95009815 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566086400000",
"number": "1831745538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8097 CONCERTO WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957478641",
"telephone_number": "916-601-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 COMMONS DR UNIT 302",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956773922",
"telephone_number": "916-345-1455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATANABE",
"first_name": "YASMEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-18",
"last_updated": "2019-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95009815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.