JERRY OWEN WATERS (NPI# 1437367307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437367307 |
| Entity Type | Individual |
| Full Name | JERRY OWEN WATERS |
| Credential | MD |
| Practice Address |
147 N Brent St Ventura CA 93003-2809 |
| Mailing Address |
717 W Pine Ave El Segundo CA 90245-2930 |
| Practice Telephone | 8056525011 |
| Mailing Telephone | 3106402456 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | G51221 | CA | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LIC NUMBER | G051221 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528075454 | Jerry Dee Waters | Pain Medicine | 2721 Olive Hwy, Ste 9, Oroville, CA 95966-6115 | 2006-08-02 |
| Street Address |
147 N BRENT ST |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265426969 | Erwin B. Clahassey M.d., A Professional Corporation | Pathology | 147 N Brent St, Ventura, CA 93003-2809 | 2005-09-08 |
| 1114543998 | Melissa Lynn Russell | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-06-17 |
| 1801419858 | John Ngo | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-05-26 |
| 1861015000 | Seyed Nasrollah Hosseini Navid | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-05-22 |
| 1932721511 | Jonathan S. Rapps | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-05-18 |
| 1891317954 | Alexander Horwitz | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2854 | 2020-05-12 |
| 1821619529 | Nataliya Panivska | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-05-04 |
| 1841811213 | Frederic John-edward Washburn | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2854 | 2020-04-27 |
| 1457971848 | Harman Virk | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2809 | 2020-04-26 |
| 1770103178 | Varsha Prasad | Student in an Organized Health Care Education/Training Program | 147 N Brent St, Ventura, CA 93003-2854 | 2020-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861585887 | Eric Martin Moll | Personal Emergency Response Attendant | 147 N Brent Sreet, Ventura, CA 93003 | 2006-10-02 |
| 1174698351 | Jill E. Furgurson | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-11-22 |
| 1922106475 | Marc A Reinoso | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-09-20 |
| 1629176284 | Richard Blackmar Browne | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-09-20 |
| 1902904493 | David Lewis Lebell | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-09-20 |
| 1053419440 | Chris Dean Johnson | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-09-20 |
| 1770681116 | Alexander Kowblansky | Personal Emergency Response Attendant | 147 N Brent St, Ventura, CA 93003-2809 | 2006-09-20 |
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|---|---|---|---|---|
| 1750895405 | Nora G Ferguson | Personal Emergency Response Attendant | 12245 Manor Dr Apt C, Hawthorne, CA 90250-3751 | 2017-11-16 |
| 1689118614 | Vincent Viola | Personal Emergency Response Attendant | 5055 Walnut Park Dr, Santa Barbara, CA 93111-1837 | 2016-12-09 |
| 1497100382 | Henry Davis Harris | Personal Emergency Response Attendant | 4632 1/2 St Charles Pl, Los Angeles, CA 90019-5730 | 2016-04-28 |
| 1659789543 | Judith Daley | Personal Emergency Response Attendant | 211 Hidden Ln, Santa Cruz, CA 95060-1276 | 2014-07-24 |
| 1679816391 | Emma M Dermody | Personal Emergency Response Attendant | 4482 Hyacinth Ave, Oakland, CA 94619-2816 | 2013-04-01 |
| 1245570670 | Lewis Rosenberg | Personal Emergency Response Attendant | 3790 Parkview Dr, Lakewood, CA 90712-3843 | 2013-02-21 |
| 1003106170 | Instant Care, Inc. | Personal Emergency Response Attendant | 2310 Cousteau Ct, Vista, CA 92081-8346 | 2011-04-11 |
| 1558651711 | Tristan David Cavender | Personal Emergency Response Attendant | 915 57th St, San Diego, CA 92114-1205 | 2011-04-08 |
| 1104115195 | Nejat Basiratmand | Personal Emergency Response Attendant | 17740 Burbank Blvd, # 101, Encino, CA 91316-1648 | 2011-03-31 |
| 1821392390 | Muna Vienna | Personal Emergency Response Attendant | 1275 Quarry St, Corona, CA 92879-1707 | 2010-12-27 |
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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.