WATSON A DESA (NPI# 1235185620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235185620 |
| Entity Type | Individual |
| Full Name | WATSON A DESA |
| Credential | MD |
| Practice Address |
3801 Katella Ave #125 Los Alamitos CA 90720-3338 |
| Practice Telephone | 5625946080 |
| Practice Fax Number | 5625946030 |
| Mailing Telephone | 5625946080 |
| Mailing Fax Number | 5625946030 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2011-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
A32717 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3801 KATELLA AVE #125 |
| City | LOS ALAMITOS |
| State | CA |
| Zip Code | 90720-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687319 | Robert Glenn Pugach | Specialist | 3801 Katella Ave, Ste 110, Los Alamitos, CA 90720-3371 | 2005-05-27 |
| 1376928077 | Wu Pediatrics Corp | Pediatrics | 3801 Katella Ave, Suite 221, Los Alamitos, CA 90720-3338 | 2015-07-23 |
| 1649676891 | Ali Alex Fouladi Md Inc | Surgery | 3801 Katella Ave, Suite 402, Los Alamitos, CA 90720-3338 | 2014-11-17 |
| 1215331269 | Mitch Bovy | Optometrist | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2014-10-20 |
| 1972919678 | Los Alamitos Ob-gyn Medical Group, Inc | Obstetrics & Gynecology | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2014-07-02 |
| 1134569429 | Abolhoda Md, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3801 Katella Ave, Suite 207, Los Alamitos, CA 90720-3338 | 2013-07-01 |
| 1750632253 | Evans Phung Tran | Physician Assistant | 3801 Katella Ave, Suite 110, Los Alamitos, CA 90720-3338 | 2012-09-24 |
| 1720338015 | Tina M Morris | Physician Assistant | 3801 Katella Ave, Ste. 101, Los Alamitos, CA 90720-3338 | 2012-09-13 |
| 1023379757 | Ayla Munawar | Pediatrics | 3801 Katella Ave, Ste 221, Los Alamitos, CA 90720-3338 | 2012-05-29 |
| 1912267774 | Lori A Hallett Audiology PC | Audiologist-Hearing Aid Fitter | 3801 Katella Ave, Los Alamitos, CA 90720-3338 | 2012-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152132 | Connie Lee Wax | Social Worker | 5182 Katella, Suite 206, Los Alamitos, CA 90720 | 2019-06-11 |
| 1750891446 | Angela Lynn Hudson | Nurse Practitioner | 4281 Katella Ave Ste 215, Los Alamitos, CA 90720 | 2017-10-06 |
| 1922524149 | Tigom LLC | Pharmacy | 4434 Cerritos Ave, Los Alamitos, CA 90720 | 2017-08-18 |
| 1821531401 | Added Access Cardiology Inc | Internal Medicine | 3801 Katella Ave Suite 401, Los Alamitos, CA 90720 | 2016-11-30 |
| 1619348091 | Debbie Chen | Marriage & Family Therapist | 5182 Katella Ave Ste 202, Los Alamitos, CA 90720 | 2015-10-12 |
| 1801292974 | Michelle R. Ancharoff | Psychologist | 4281 Katella Ave #122, Los Alamitos, CA 90720 | 2014-11-17 |
| 1497179253 | Jeffrey J Mccullough | Dentist | 4281 Katella Ave Ste 112, Los Alamitos, CA 90720 | 2014-02-13 |
| 1043634124 | Alamitos Oral Surgery | Dentist | 4582 Katella Avenue, Los Alamitos, CA 90720 | 2014-02-11 |
| 1972939718 | Twin Town Corporation | Clinic/Center | 4376 Katella Ave., Los Alamitos, CA 90720 | 2013-09-25 |
| 1952644197 | Lindsay Enebak Mossinger | Internal Medicine | 3851 Katella Ave Ste 220, Los Alamitos, CA 90720 | 2013-04-05 |
| Find all providers in zip 90720 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073546370 | Omid Vahdat Md Inc | Internal Medicine | 3801 Katella Ave, Suite 310, Los Alamitos, CA 90720-3338 | 2006-07-09 |
| 1033164330 | Omid Vahdat | Internal Medicine | 3801 Katella Ave, Suite 310, Los Alamitos, CA 90720-3338 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430412 | Anitha Rajamanickam Md Apmc | Internal Medicine | 3907 Waring Rd Ste 3, Oceanside, CA 92056-4454 | 2020-09-03 |
| 1316574890 | Woodland Hills Cardiology Group, PC | Internal Medicine | Woodland Hills Cardiology Group, PC, 22900 Ventura Blvd, Ste 165, Woodland Hills, CA 91364 | 2020-03-25 |
| 1841820677 | Sarsam Cardiology A Professional Corporation | Internal Medicine | 31285 Temecula Pkwy Ste 220, Temecula, CA 92592-6833 | 2020-01-21 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1336708494 | Peripheral Vascular Institute, Inc. A Podiatry Corp | Internal Medicine | 2100 Solar Dr Ste 103, Oxnard, CA 93036-0649 | 2019-06-11 |
| 1568020709 | Bakersfield Vascular Care Inc | Internal Medicine | 3550 Q St Ste 205, Bakersfield, CA 93301-1645 | 2019-06-03 |
| 1669974689 | Hossein Eftekhari Md Inc | Internal Medicine | 4147 Pascal Pl, Palos Verdes Peninsula, CA 90274-3941 | 2018-03-06 |
| 1104324102 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 108, Marysville, CA 95901-5669 | 2018-01-25 |
| 1194223198 | Adventist Health Physicians Network | Internal Medicine | 414 G St Ste 210, Marysville, CA 95901-5669 | 2018-01-25 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMITOS |
| Zip Code | 90720 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.