Organization Active NPI

Hubert C. Watkins, M.D., Inc.

  • Medical Specialty Clinic/Center
  • Riverside, CA
National Provider Identifier
1841534302
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
G87290 Issued in CA
Legal business name
HUBERT C. WATKINS, M.D., INC.
Practice address
6926 Brockton Ave
Suite 10
Riverside, CA 92506-3800
Phone
(951) 683-0540
NPI assigned
Nov 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Hubert C Watkins, M.D.NPI 1104999739
Title
President
Phone
(951) 683-0540

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
Medical Specialty Clinic/Center 261QM2500X G87290 CA Primary

Addresses

Primary practice location

6926 Brockton Ave
Suite 10
Riverside, CA 92506-3800

Mailing address

6926 Brockton Ave
Suite 10
Riverside, CA 92506-3800
Phone (951) 683-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121221000162 CA Part B Supplier - Clinic/Group Practice 1759533730 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Locations

6926 Brockton Ave
Ste 10
Riverside, CA 92506
Phone (951) 683-0540

Practitioners & affiliated clinicians

Practitioners 1

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": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1841534302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6926 BROCKTON AVE",
            "address_2": "SUITE 10",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063800",
            "telephone_number": "951-683-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6926 BROCKTON AVE",
            "address_2": "SUITE 10",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063800",
            "telephone_number": "951-683-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBERT C. WATKINS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-683-0540",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G87290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.