Individual provider Active NPI

David L. Watson, M.D.

  • Emergency Medicine Physician
  • Placentia, CA
National Provider Identifier
1861572679
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
8273 Issued in NV
Practice address
1301 N Rose Dr
Department of Emergency Services
Placentia, CA 92870-3802
Phone
(714) 993-2000
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 8273 NV Primary

Addresses

Primary practice location

1301 N Rose Dr
Department of Emergency Services
Placentia, CA 92870-3802

Mailing address

PO Box 10279
Westminster, CA 92685-0279
Phone (562) 809-3545

Other identifiers 2

IdentifierTypeStateIssuer
2002639MedicaidNV
1861572679MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080520000830 NV Practitioner - Emergency Medicine 7810066545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Southern California Keck School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lola Emergency Physicians LLCGroup PAC ID 9234464124, 9 clinicians

Practice addresses (Care Compare)

360 S Lola LN
Pahrump, NV 89048-0884
Phone (954) 939-5000

Hospital & facility affiliations

  • Desert View Hospital Hospital, Pahrump, NV, CCN 291311

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lola Emergency Physicians LLC Emergency Medicine CurrentSince Jun 18, 2019 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Past Accepting new patients
Southwest Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Acute Care Medical Group of Orange, Inc Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services, PA Emergency Medicine Past Accepting new patients

Locations

350 W Cedar St
Fl 4
Pensacola, FL 32502
Phone (850) 444-2540

360 S Lola Ln
Pahrump, NV 89048
Phone (775) 751-7500

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1861572679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10279",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926850279",
            "telephone_number": "562-809-3545",
            "fax_number": "562-924-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N ROSE DR",
            "address_2": "DEPARTMENT OF EMERGENCY SERVICES",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703802",
            "telephone_number": "714-993-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "DAVID",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "8273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2002639",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861572679",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.