DR. THOMAS ALAN WATTERS (NPI# 1508816596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508816596 |
| Entity Type | Individual |
| Full Name | DR. THOMAS ALAN WATTERS |
| Credential | M.D. |
| Practice Address |
101 S San Mateo Dr Suite 303 San Mateo CA 94401-3819 |
| Practice Telephone | 6502185758 |
| Practice Fax Number | 6503758398 |
| Mailing Telephone | 6502185758 |
| Mailing Fax Number | 6503758398 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2009-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
MD13617 | HI | Allopathic & Osteopathic Physicians |
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
G50566 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417939224 | Thomas Watters | Nurse Anesthetist, Certified Registered | 125 Buena Vista Cir, South Hill, VA 23970-1431 | 2005-11-17 |
| Street Address |
101 S SAN MATEO DR SUITE 303 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060308 | Jacqueline Koo | Ophthalmology | 101 S San Mateo Dr, Suite 310, San Mateo, CA 94401-3819 | 2005-08-11 |
| 1205472115 | Catrina Patricia Blake | Nurse Practitioner | 101 S San Mateo Dr, San Mateo, CA 94401-3819 | 2019-11-26 |
| 1710425921 | Comprehensive Foot and Ankle Care Inc | Podiatrist | 101 S San Mateo Dr, Suite 212, San Mateo, CA 94401-3819 | 2017-02-08 |
| 1689031346 | Jennifer Tran | Nurse Practitioner | 101 S San Mateo Dr, #102, San Mateo, CA 94401-3819 | 2016-01-26 |
| 1104201334 | San Mateo Rheumatology Inc. | Internal Medicine | 101 S San Mateo Dr, Suite 307, San Mateo, CA 94401-3819 | 2015-07-29 |
| 1265845077 | Aaron Kwan | Optometrist | 101 S San Mateo Dr, Suite 310, San Mateo, CA 94401-3819 | 2014-06-09 |
| 1699111617 | Emere Medical Professional Corporation | Physical Medicine & Rehabilitation | 101 S San Mateo Dr, Suite 202, San Mateo, CA 94401-3819 | 2013-05-16 |
| 1548599145 | Peninsula Spine & Sports Rehab, A Rommel Hindocha Chiropractic Corp. | Chiropractor | 101 S San Mateo Dr, Suite 200, San Mateo, CA 94401-3819 | 2009-12-10 |
| 1194959569 | Dale Jacknow | Pediatrics | 101 S San Mateo Dr, Suite 208, San Mateo, CA 94401-3819 | 2009-05-13 |
| 1578704045 | San Mateo Physical Therapy Center | Clinic/Center | 101 S San Mateo Dr, 200, San Mateo, CA 94401-3819 | 2009-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538108972 | Cardiac Imaging Consultants Medical Group, Inc. | Nuclear Medicine | 63 Bovet Rd, Suite 424, San Mateo, CA 94402-3104 | 2006-06-04 |
| 1982653598 | Pacific Network Imaging, Inc. | Nuclear Medicine | 101 S San Mateo Dr, Suite 303, San Mateo, CA 94401-3819 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418738 | Modern Molecular Imaging LLC | Nuclear Medicine | 7210 N Milburn Ave Ste 106, Fresno, CA 93722-8449 | 2020-02-07 |
| 1588918544 | Birdjandi Md.inc | Nuclear Medicine | 5313 Renaissance Ave, #2, San Diego, CA 92122-5634 | 2012-10-30 |
| 1720250103 | Ram Dandillaya, M.d., Inc. | Nuclear Medicine | 4201 Torrance Blvd Ste 790, Torrance, CA 90503 | 2008-03-26 |
| 1851318810 | Cardiac Imaging Associates A Medical Corporation | Nuclear Medicine | 8581 Santa Monica Blvd # 471, Los Angeles, CA 90069-4120 | 2006-07-16 |
| 1598780116 | Howard Charles Lewin | Nuclear Medicine | 11835 W Olympic Blvd Ste 1150, Los Angeles, CA 90064-5078 | 2006-07-13 |
| 1942256060 | Anu Chirala A Medical Corporation | Nuclear Medicine | 18511 Mission View Dr, Suite 120, Morgan Hill, CA 95037-2974 | 2006-05-26 |
| 1457314262 | Malcolm S Pond Md Inc & Chiayu Chen Md Ptr Cardiology Associates | Nuclear Medicine | 4500 Brockton Ave Ste 203, Riverside, CA 92501-4006 | 2006-04-11 |
| 1699751222 | Evelyn Manalili Musni | Nuclear Medicine | 1860 Mowry Ave Ste 200, Fremont, CA 94538-1730 | 2005-12-15 |
| 1811431182 | Cardiac Imaging Nuclear Associates, A Medical Corporation | Nuclear Medicine | 11835 W Olympic Blvd Ste 1150, Los Angeles, CA 90064-5078 | 2016-12-06 |
| 1801258843 | Karl Sun, M.d. Inc. | Nuclear Medicine | 5555 Reservoir Drive, Suite 112, San Diego, CA 92120 | 2016-03-28 |
| Find all providers with the same taxonomy | ||||
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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.