George Watson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

210 40TH Street Way
Oakland, CA 94611-5612

Phone

(510) 658-2041

NPI assigned

Apr 27, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. George Watson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1952788127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 GOLDEN HINDE BLVD",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033817",
            "telephone_number": "415-305-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 40TH STREET WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115612",
            "telephone_number": "510-658-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "GEORGE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGE",
            "last_name": "WATSON",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Watkins, PSY.D.
• Brenda Watson
• Calysta R Watson
• Casey Watson
• Courtney Watson
• Henry Geoffrey Watson, M.D.
• Katherine Watson, DO
• Katherine Rene Watson, PH.D
• Kimberly Watson
• Leslie Watson, LCSW

• Physical Therapy Assistant in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.