DAVID A. WATKINS CMA NPI 1013250042

NPI Information

NPI: 1013250042
Provider Name: DAVID A. WATKINS, CMA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1400 EMELINE AVE
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 454-4170
Get Directions

David A. Watkins, CMA is a medical physician assistant in Santa Cruz, CA. David A. Watkins, CMA NPI is 1013250042. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 EMELINE AVE
SANTA CRUZ, CA
ZIP 95060-976
Phone: (831) 454-4170

The enumeration date for this NPI number is 3/27/2013 and was last updated on 3/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	CCMA-C 4816-04	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FHC 70044F	OTHER	CALIFORNIA	MEDI-CAL GROUP NUMBER
2	FHC 70042F	OTHER	CALIFORNIA	MEDI-CAL GROUP NUMBER
3	ZZZ91891Z	OTHER	CALIFORNIA	COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
4	ZZZ91892Z	OTHER	CALIFORNIA	COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
5	ZZZ92069Z	OTHER	CALIFORNIA	COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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