DR. MARK DAVID WATANABE (NPI# 1104020841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104020841 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID WATANABE |
| Credential | PHARMD, PHD |
| Practice Address |
1380 Howard St Rm 130 San Francisco CA 94103 |
| Mailing Address |
Po Box 192912 San Francisco CA 94119-2912 |
| Practice Telephone | 4152553659 |
| Mailing Telephone | 6178779977 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2018-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1835P1300X |
Pharmacist Specialization: Psychiatric |
20773 | CO | Pharmacy Service Providers |
| N | 1835P1300X |
Pharmacist Specialization: Psychiatric |
7242 | OR | Pharmacy Service Providers |
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
37324 | CA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1563 Mission St Ste A, San Francisco, CA 941032543 | 6282175200 | 4155533900 |
| 3905 Mission St, San Francisco, CA 941121014 | 4153372400 | 4153372415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093924698 | Mark Kekoa Watanabe | Dentist | 4429 Malaai St, Suite 103, Honolulu, HI 96818-3158 | 2007-05-21 |
| 1043733660 | Mark Watanabe | Dentist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2017-07-25 |
| Street Address |
1380 HOWARD ST RM 130 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745969 | Michael Frank | Student in an Organized Health Care Education/Training Program | 1380 Howard St Rm 130, San Francisco, CA 94103-2638 | 2020-09-17 |
| 1184289142 | Edmund Ines Carnecer | Specialist | 1380 Howard St Rm 130, San Francisco, CA 94103-2638 | 2019-05-06 |
| 1043794894 | Omar J Woodworth | Pharmacy Technician | 1380 Howard St Rm 130, San Francisco, CA 94103-2638 | 2018-09-18 |
| 1174006001 | Megan Roberson | Student in an Organized Health Care Education/Training Program | 1380 Howard St Rm 130, San Francisco, CA 94103-2638 | 2018-09-06 |
| 1407346638 | Ariyah Z Page | Community Health Worker | 1380 Howard St Rm 130, San Francisco, CA 94103-2638 | 2018-05-14 |
| 1467950352 | Bryan Uriel Arreola Becerra I | Community Health Worker | 1380 Howard St Rm 130, San Francisco, CA 94103-2638 | 2018-01-25 |
| 1164959037 | Julie Nguyen | Student in an Organized Health Care Education/Training Program | 1380 Howard St Rm 130, San Francisco, CA 94103-2638 | 2017-05-22 |
| 1588191464 | Jasper Hai | Student in an Organized Health Care Education/Training Program | 1380 Howard St Rm 130, San Francisco, CA 94103-2638 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669015665 | Cheng Chi Chang | Student in an Organized Health Care Education/Training Program | 987 Mission Street, San Francisco, CA 94103 | 2019-10-22 |
| 1366925604 | Sharon Farrell | Specialist | Citywide Forensics, 982 Mission Street, San Francisco, CA 94103 | 2018-09-12 |
| 1548748759 | Muvr Labs, Inc | Clinic/Center | 724 Bannan Street, San Francisco, CA 94103 | 2018-07-31 |
| 1245727585 | Marco Alejandro Regalado Chacon | Counselor | 1035 Market St Ste 100, San Francisco, CA 94103 | 2018-04-20 |
| 1679091854 | Maia Elizabeth Anello | Counselor | 42 Mclea Ct., San Francisco, CA 94103 | 2017-09-07 |
| 1710405584 | Wendy Siuping Leung | Specialist | 1380 Howard Street, Second Floor, 201b, San Francisco, CA 94103 | 2017-08-31 |
| 1740707397 | Leslie My Ngoc Lam | Specialist | 1380 Howard Street., 3rd Floor, San Francisco, CA 94103 | 2017-08-24 |
| 1598281990 | Raymundo Macias | Counselor | 1563 Mission Street, San Francisco, CA 94103 | 2017-08-17 |
| 1720502461 | Kathie Isabel Cordova | Specialist | 1380 Howard Streeet, San Francisco, CA 94103 | 2017-08-02 |
| 1154850428 | Elizabeth Osterwald | Counselor | 150 9th Street, San Francisco, CA 94103 | 2017-06-08 |
| Find all providers in zip 94103 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922330638 | Christopher Ching | Pharmacist | 1380 Howard St # 130, San Francisco, CA 94103-2638 | 2010-02-04 |
| 1588856850 | Luriko Jean Ajari | Pharmacist | 2356 Sutter Street, Fourth Floor, San Francisco, CA 94115-1648 | 2007-08-10 |
| 1598763179 | James Jeremy Gasper | Pharmacist | 1380 Howard St, 2nd Floor, San Francisco, CA 94103-2638 | 2005-07-08 |
| 1457358939 | Patrick Richard Finley | Pharmacist | 2356 Sutter St, San Francisco, CA 94115-3006 | 2005-06-30 |
| 1558746487 | Korana Avdagic | Pharmacist | 1380 Howard St, Room 130, San Francisco, CA 94103-2638 | 2015-07-21 |
| 1063766749 | Chia-ling Tsai | Pharmacist | 1001 Potrero Ave # 7m, San Francisco, CA 94110-3518 | 2012-11-02 |
| 1053691667 | Reisel K Berger | Pharmacist | 1380 Howard St, Room 130, San Francisco, CA 94103-2638 | 2011-08-26 |
| 1255643649 | Betsy Yuan | Pharmacist | 1380 Howard St, Suite 130, San Francisco, CA 94103-2638 | 2010-07-14 |
| 1669643953 | Gloria Lee Wilder | Pharmacist | 1380 Howard St, Pharmacy Department, San Francisco, CA 94103-2638 | 2008-03-14 |
| 1952494247 | John Buffum | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1545 | 2006-10-01 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94103 |
Please comment or provide details below to improve the information on DR. MARK DAVID WATANABE.
| 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.