DR. FRED M WATKINS (NPI# 1417244591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417244591 |
| Entity Type | Individual |
| Full Name | DR. FRED M WATKINS |
| Credential | M.D. |
| Practice Address |
6417 Haven Ave Ste 110 Rancho Cucamonga CA 91737-3804 |
| Mailing Address |
Po Box 519 Loma Linda CA 92354-0519 |
| Practice Telephone | 9099412273 |
| Mailing Telephone | 9099412273 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2019-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A 117467 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4301 Wilson St, Rach Ucc, Fort Sill, OK 735034472 | 5805582000 |
| Street Address |
6417 HAVEN AVE STE 110 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91737-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164466322 | Yi Zhang | Emergency Medicine | 6417 Haven Ave Ste 110, Rancho Cucamonga, CA 91737-3804 | 2006-06-16 |
| 1619473154 | Haven Elite Urgent Care | Clinic/Center | 6417 Haven Ave Ste 110, Rancho Cucamonga, CA 91737 | 2018-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077889 | Nancy M Yani | Pharmacist | 10431 Lemon Ave Suite G, Rancho Cucamonga, CA 91737 | 2019-08-08 |
| 1497219208 | Karen Shigenaka | Counselor | 4964 Klusman Avenue, Rancho Cucamonga, CA 91737 | 2019-01-25 |
| 1255863700 | Gabriell Marie Leon | Marriage & Family Therapist | 6593 Mesada St, Rancho Cucamonga, CA 91737 | 2017-04-03 |
| 1164767844 | Andrew Addy | Durable Medical Equipment & Medical Supplies | 10757 Lemon Avenue, Suite 1224, Rancho Cucamonga, CA 91737 | 2012-12-06 |
| 1871713842 | Julia Eileen Brown | Dentist | 6331 Haven Blvd #12, Rancho Cucamonga, CA 91737 | 2007-05-01 |
| 1518080597 | Irene Malavika Justin | Dentist | 10186 Monaco Pl, Ranchocucamonga, CA 91737 | 2007-04-06 |
| 1245509165 | Bill Chan | Pharmacist | 6400 Haven Ave, Rancho Cucamonga, CA 91737 | 2011-12-21 |
| 1841818747 | Wtfootcare, Professional Physician Assistant Corporation | Physician Assistant | 8972 Appaloosa Ct, Rancho Cucamonga, CA 91737-1401 | 2020-07-08 |
| 1780166595 | Stanley Mwaura | Registered Nurse | 8914 Whirlaway Ct, Rancho Cucamonga, CA 91737-1417 | 2018-08-29 |
| 1518282029 | Nidhi Chinmai Papagari | Physical Therapist | 9009 Appaloosa Ct, Alta Loma, CA 91737-1457 | 2010-03-29 |
| Find all providers in zip 91737 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548726946 | Dr Rick M Hirsch Do A Professional Corporation | Family Medicine | 8211 Rochester Ave Ste 101, Rancho Cucamonga, CA 91730-0742 | 2019-02-11 |
| 1750810370 | James R Brown Md Inc | Family Medicine | 8360 Red Oak St Ste 103, Rancho Cucamonga, CA 91730-0608 | 2017-06-07 |
| 1558805671 | Mazen Munir Md Inc. | Family Medicine | 10165 E. Foothill Blvd, Suite 8, Rancho Cucamonga, CA 91730-0341 | 2016-12-08 |
| 1275827636 | Mihir Kishor Sanghvi | Family Medicine | 5155 Seagreen Ct, Rancho Cucamonga, CA 91739-2637 | 2011-06-02 |
| 1609160019 | Derek Wayne Crouch | Family Medicine | 9089 Baseline Rd Ste 100, Rancho Cucamonga, CA 91730-1295 | 2011-06-02 |
| 1821389990 | Caring Family Medicine Inc | Family Medicine | 8599 Haven Ave Ste 106, Rancho Cucamonga, CA 91730-4849 | 2011-04-25 |
| 1578853800 | One Source Healing, Inc. | Family Medicine | 7365 Carnelian St Ste 204, Rancho Cucamonga, CA 91730-1157 | 2011-04-07 |
| 1619105541 | Darlene L Espinosa | Family Medicine | 10787 Laurel St., Rancho Cucamonga, CA 91730 | 2009-06-30 |
| 1053548644 | Suniel S. Khemlani | Family Medicine | 11398 Kenyon Way Ste J, Rancho Cucamonga, CA 91701 | 2009-06-22 |
| 1861627655 | Skin Envy Med Spa and Weight Loss | Family Medicine | 8112 Milliken Ave Ste 103-1, Rancho Cucamonga, CA 91730-7471 | 2009-05-21 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91737 |
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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.