DR. JOHN ROBERT WATERSON M.D. PH.D. NPI 1578505467

NPI Information

NPI: 1578505467
Provider Name: DR. JOHN ROBERT WATERSON, M.D., PH.D.
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

Address:
747 52ND ST
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
OAKLAND, CA
ZIP 94609
Phone: (510) 428-3550
Get Directions

DR. John Robert Waterson, M.D., PH.D. is a clinical genetics (m.d.) medical genetics in Oakland, CA. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. John Robert Waterson, M.D., PH.D. NPI is 1578505467. 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:

747 52ND ST
CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND
OAKLAND, CA
ZIP 94609-809
Phone: (510) 428-3550

The enumeration date for this NPI number is 6/12/2006 and was last updated on 2/20/2013.

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	208000000X	Pediatrics		G85487	CALIFORNIA	No
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	G85487	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	F19543	MEDICARE UPIN	CALIFORNIA
2	00G85487	MEDICAID	CALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »