MICHAEL J. WATANABE, M.D., APC (NPI# 1629387790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629387790 |
| Entity Type | Organization |
| Organization Name | MICHAEL J. WATANABE, M.D., APC |
| Practice Address |
24401 Calle De La Louisa Suite 102 Laguna Hills CA 92653-3623 |
| Practice Telephone | 9498598551 |
| Practice Fax Number | 9498593640 |
| Mailing Telephone | 9498598551 |
| Mailing Fax Number | 9498593640 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |
| Authorized Official Name | DR. MICHAEL JUN WATANABE (PRESIDENT) |
| Authorized Official Telephone | 9498598551 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A29824 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
24401 CALLE DE LA LOUISA SUITE 102 |
| City | LAGUNA HILLS |
| State | CA |
| Zip Code | 92653-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295727261 | Breast Specialists Medical Group, Inc. | Radiology | 24401 Calle De La Louisa, Ste. 200, Laguna Hills, CA 92653-3623 | 2005-08-16 |
| 1407207095 | Kristen Marie Loy Bynon | Physician Assistant | 24401 Calle De La Louisa, Ste 102, Laguna Hills, CA 92653-3624 | 2016-06-25 |
| 1174927602 | Laguna Hills Refractive LLC | Clinic/Center | 24401 Calle De La Louisa, Ste 300, Laguna Hills, CA 92653-3623 | 2014-10-13 |
| 1992108898 | Breast Care Specialists Medical Group, Inc. | Radiology | 24401 Calle De La Louisa, Suite 200, Laguna Hills, CA 92653 | 2014-10-06 |
| 1053650309 | Diana Kristine De Rosa | Genetic Counselor, MS | 24401 Calle De La Louisa, Suite 200, Laguna Hills, CA 92653-3623 | 2013-02-06 |
| 1972849933 | Nadine Rayes | Genetic Counselor, MS | 24401 Calle De La Louisa, Laguna Hills, CA 92653-3623 | 2012-12-19 |
| 1215290556 | Harvard Hearing, Inc. | Hearing Aid Equipment | 24401 Calle De La Louisa, Suite 300, Laguna Hills, CA 92653-3623 | 2012-06-21 |
| 1437389822 | Duna A Raoof | Ophthalmology | 24401 Calle De La Louisa, 300, Laguna Hills, CA 92653-3623 | 2009-07-20 |
| 1477713030 | Brian Takemoto Kim | Ophthalmology | 24401 Calle De La Louisa, Suite 300, Laguna Hills, CA 92653-3623 | 2008-06-16 |
| 1306026281 | Savak Teymoorian | Ophthalmology | 24401 Calle De La Louisa, Suite 300, Laguna Hills, CA 92653-3623 | 2007-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
| 1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
| 1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
| 1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
| 1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
| 1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
| 1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
| 1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
| Find all providers in zip 92653 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382523 | Beverly Hills Outpatient Surgery Center Inc | Surgery | 50 N La Cienega Blvd Ste 203, Beverly Hills, CA 90211-2246 | 2020-09-24 |
| 1558907857 | California Surgical and Anesthesia Services, Inc | Surgery | 3500 S Bristol St Ste 203, Santa Ana, CA 92704-7306 | 2019-11-21 |
| 1710533864 | Elite Transformations, A Professional Medical Corporation | Surgery | 1795 El Camino Real Ste 200, Palo Alto, CA 94306-1165 | 2019-08-14 |
| 1326503632 | Andre P. Marshall, Md Inc | Surgery | 32456 Crown Valley Pkwy Apt 105, Dana Point, CA 92629-3312 | 2019-01-31 |
| 1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
| 1497249817 | Alexander Villicana Md LLC | Surgery | 624 W Duarte Rd Ste 201, Arcadia, CA 91007-9261 | 2018-06-19 |
| 1316431273 | Justin E. West, Md Inc. | Surgery | 230 S Main St Ste 210, Orange, CA 92868-3851 | 2018-06-14 |
| 1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
| 1285082859 | Daniel Suissa | Surgery | 9201 W Sunset Blvd Ste 708, West Hollywood, CA 90069-3708 | 2016-05-24 |
| 1780030478 | Eric Yu Kit Li | Surgery | 10430 S De Anza Blvd Ste 170, Cupertino, CA 95014-3000 | 2016-05-11 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA HILLS |
| Zip Code | 92653 |
Please comment or provide details below to improve the information on MICHAEL J. WATANABE, M.D., APC.
| 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.