Jacob Ryan Watson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

153088 Issued in CA

Practice address

27130 Paseo Espada Ste 522
San Juan Capistrano, CA 92675-2719

Phone

(310) 613-2236

NPI assigned

Apr 29, 2025

Last updated

Apr 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1881482776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 CARTAGENA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603283",
            "telephone_number": "310-613-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27130 PASEO ESPADA STE 522",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926752719",
            "telephone_number": "310-613-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JACOB",
        "middle_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "18823",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Drew Wagner, PHARMD
• Anisa Waheeduddin, SLPA
• Kenneth Wahlstrom, PHARM.D.
• Walk Intuit Inc.
• Lynn Watkins, PT
• Joshua Drage Watson, PT, DPT
• Nairobi Watson, NP
• Kelly Breanne Waugh, PPS
• Karin Corinne Weber, LMFT
• Tanner Weeks

• Marriage & Family Therapist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.