Watson a. Desa, MD, a Medical Corp

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A32717 Issued in CA

Legal business name

WATSON A. DESA, MD, A MEDICAL CORP

Practice address

1050 Linden Ave
Long Beach, CA 90813-3393

Phone

(562) 594-6080

Fax

(562) 594-6030

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Watson Antonio Desa, M.D.NPI 1235185620

Title

Owner

Phone

(562) 594-6080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Watson A Desa, MD

  • Interventional Cardiology Physician
  • Los Alamitos, CA
  • NPI 1235185620
  Medicare reassignment NPD Authorized official
• Shivanand R Pole, M.D

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1477737369
  NPD

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1982616439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907200708",
            "telephone_number": "562-594-6080",
            "fax_number": "562-594-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LINDEN AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133393",
            "telephone_number": "562-594-6080",
            "fax_number": "562-594-6030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 South St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CA",
            "postal_code": "907121419",
            "country_code": "US",
            "telephone_number": "562-594-6080",
            "fax_number": "562-594-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3751 Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907203113",
            "country_code": "US",
            "telephone_number": "562-594-6080",
            "fax_number": "562-594-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WATSON A. DESA, MD, A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "DESA",
        "authorized_official_first_name": "WATSON",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-594-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A32717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Waters
• Janice Virginia Watkin, MFT
• Katrina Loriel Watkins, AMFT
• Teron Watkins
• Cynthia Anne Watler, M.D.
• Ayana Watson
• Beverly A Watson
• Cody Watson, PPS
• James Lynn Watson
• Jenna Watson

• Medical Specialty Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.