Organization Active NPI

Walter W Watson MD a Professional Corporation

  • Anesthesiology Physician
  • Inglewood, CA
National Provider Identifier
1952574816
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C41555 Issued in CA
Legal business name
WALTER W WATSON MD A PROFESSIONAL CORPORATION
Practice address
555 E Hardy St
Inglewood, CA 90301-4011
Phone
(310) 673-4660
NPI assigned
Apr 10, 2008
Last updated
Apr 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Ms. Walter William Watson, M.D.NPI 1225066855
Title
President
Phone
(310) 792-3914

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
Anesthesiology Physician 207L00000X C41555 CA Primary

Addresses

Primary practice location

555 E Hardy St
Inglewood, CA 90301-4011

Mailing address

3465 Torrance Blvd
Torrance, CA 90503-5804
Phone (310) 792-3914

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100107000636 CA Part B Supplier - Clinic/Group Practice 9234270661 Receives reassigned benefits from 1 practitioner
Practice locations: Marina del Rey, CA; Torrance, CA; Beverly Hills, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

3465 Torrance Blvd
Torrance, CA 90503

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1952574816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 TORRANCE BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035804",
            "telephone_number": "310-792-3914",
            "fax_number": "310-792-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E HARDY ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014011",
            "telephone_number": "310-673-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER W WATSON MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-792-3914",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C41555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.