DR. GARY RAY WATSON (NPI# 1376587006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376587006 |
| Entity Type | Individual |
| Full Name | DR. GARY RAY WATSON |
| Credential | M.D. |
| Practice Address |
2020 Coffee Rd Suite B-5 Modesto CA 95355-2427 |
| Mailing Address |
2020 Coffee Rd. Ste. B-5 Modesto CA 95355 |
| Practice Telephone | 2094912000 |
| Practice Fax Number | 2094912787 |
| Mailing Telephone | 2094912000 |
| Mailing Fax Number | 2094912787 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2013-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G46720 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265899975 | Gary Watson | Massage Therapist | 11034 N 55th Ave, Glendale, AZ 85304-3934 | 2016-01-26 |
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1073626735 | Gary Wayne Watson | Internal Medicine | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2006-08-16 |
| Street Address |
2020 COFFEE RD SUITE B-5 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-2427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033107438 | Kathleen S. Rawe | Pharmacy | 2020 Coffee Rd, Suite C2, Modesto, CA 95355-2427 | 2005-10-10 |
| 1063772846 | Charles Wickersham | Pharmacist | 2020 Coffee Rd, Suite C2, Modesto, CA 95355-2427 | 2012-05-25 |
| 1326326281 | Raymond Nepomuceno | Dentist | 2020 Coffee Rd, Suite B-4, Modesto, CA 95355-2427 | 2011-07-26 |
| 1275786733 | Kim Tran Vu | Dentist | 2020 Coffee Rd, Ste. G-2, Modesto, CA 95355-2427 | 2008-10-28 |
| 1770772287 | Daniel T. Vu | Dentist | 2020 Coffee Rd, Ste. G-2, Modesto, CA 95355-2427 | 2007-10-20 |
| 1023217999 | Lavedita Levette Parker | Dentist | 2020 Coffee Rd, Suite E, Modesto, CA 95355-2427 | 2007-07-12 |
| 1851502793 | Yvonne Marie Mcloughlin | Marriage & Family Therapist | 2020 Coffee Rd, Suite H-4, Modesto, CA 95355-2427 | 2007-05-24 |
| 1194943035 | Trinh Mai Ngoc Vo | Dentist | 2020 Coffee Rd, A-4, Modesto, CA 95355-2427 | 2007-04-24 |
| 1104049386 | Kristi Abigail Carson | Massage Therapist | 2020 Coffee Rd, Ste. D-3, Modesto, CA 95355-2427 | 2007-04-10 |
| 1164544698 | Jerold Rosenthal | Marriage & Family Therapist | 2020 Coffee Rd, H-6, Modesto, CA 95355-2427 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881045763 | Maria Ortiz | Specialist | 1801 Tully Rd Ste A2, Modesto, CA 95350-2937 | 2016-06-22 |
| 1184081614 | James Mccray | Specialist | 1620 N Carpenter Rd Ste D59, Modesto, CA 95351-1148 | 2016-01-28 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1497088173 | Heather Lee King | Specialist | 325 Downey Ave, Modesto, CA 95354-1203 | 2009-09-11 |
| 1073783353 | David Bautista | Specialist | 500 9th St, Modesto, CA 95354-3428 | 2008-03-03 |
| 1770622375 | Kathleen Marie Dubose | Specialist | 1901 Standiford Ave, Suite A, Modesto, CA 95350-0149 | 2007-02-06 |
| 1932266517 | Callie C Graham | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-01-02 |
| 1295896041 | Theodore Edmund Staahl | Specialist | 1329 Spanos Ct Ste A-1, Modesto, CA 95355-2806 | 2006-12-13 |
| 1831272657 | John Leicham | Specialist | 200 Greenwich Ln, Modesto, CA 95350-1461 | 2006-10-23 |
| 1144310657 | Valley Hand Center | Specialist | 200 W Roseburg Ave, Ste B-1, Modesto, CA 95350-5200 | 2006-10-13 |
| Find all providers in MODESTO | ||||
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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.