Waterman Health Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WATERMAN HEALTH INC

Practice address

1396 N Waterman Ave
109
San Bernardino, CA 92404-5313

Phone

(909) 885-2464

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Mike Visovski

Title

Ceo

Phone

(909) 885-2464

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1992034789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 N WATERMAN",
            "address_2": "109",
            "city": "SAN BERNARDION",
            "state": "CA",
            "postal_code": "924045313",
            "telephone_number": "909-885-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 N WATERMAN AVE",
            "address_2": "109",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045313",
            "telephone_number": "909-885-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMAN HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "VISOVSKI",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-885-2464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Washington
• Ronnie Washington
• Taylor Washington
• Washingtons Helping Hand LLC
• Waterman Convalescent Hospital, LLC
• Waterman Medical Supply Inc
• Watermanidence Opco, LLC
• Mary Waters Parks, MSG
• Deon Watkins
• Robert William Watrous, MD

• General Practice Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.