Watkins Spine, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

2960692 Issued in CA

Legal business name

WATKINS SPINE, INC.

Practice address

4640 Admiralty Way
Suite 600
Marina del Rey, CA 90292-6621

Phone

(310) 448-7890

Fax

(310) 448-7853

NPI assigned

May 10, 2007

Last updated

Jul 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert G Watkins III, M.D.NPI 1952440505

Title

President

Phone

(310) 448-7890

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Green Watkins III, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Marina del Rey, CA
  • NPI 1952440505
  Medicare reassignment NPD Authorized official
• David Chang, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Marina del Rey, CA
  • NPI 1467575472
  Medicare reassignment NPD

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1932314408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY",
            "address_2": "SUITE 600",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926621",
            "telephone_number": "310-448-7890",
            "fax_number": "310-448-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY",
            "address_2": "SUITE 600",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926621",
            "telephone_number": "310-448-7890",
            "fax_number": "310-448-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATKINS SPINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-448-7890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "2960692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID CHANG MD",
            "identifier": "1467575472-NPI",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT G. WATKINS III MD",
            "identifier": "1952440505-NPI",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT G. WATKINS IV MD",
            "identifier": "1336288992 - NPI",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hueyyoung Emily Wang
• Sandy Wang, NP
• Warby Parker Inc.
• Eleby Rudolph Washington III, M.D.
• Vance Marshal Washington, MD
• Robert Green Watkins IV, M.D.
• Robert Green Watkins III, M.D.
• Wesley Ryan MD PC
• Sandie West, LMT
• Western Diagnostic & Therapeutic Radiology Medical Group, Inc. (Western Radiologic Medical Group)

• Specialist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.