PAUL A WATERS (NPI# 1730191065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730191065 |
| Entity Type | Individual |
| Full Name | PAUL A WATERS |
| Credential | MD |
| Practice Address |
782 E Harding Way Stockton CA 95204-6101 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 2094755500 |
| Practice Fax Number | 2094661982 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2014-12-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C23567 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649584483 | Paul E Waters | Pharmacist | 1 East Stone Ave, Greenville, SC 29609 | 2010-08-04 |
| 1053448761 | Paul Waters | Dentist | 1855 Piedmont Rd, Ste. 102, Marietta, GA 30066-4271 | 2007-02-28 |
| 1811955958 | Paul Frederick Waters | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 77 Lafayette Pl, Suite 302, Greenwich, CT 06830-5426 | 2006-05-01 |
| Street Address |
782 E HARDING WAY |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598738122 | George E Rishwain | Internal Medicine | 782 E Harding Way, Stockton, CA 95204-6101 | 2006-02-13 |
| 1033698915 | Thu Trang Le | Nurse Practitioner | 782 E Harding Way, Stockton, CA 95204-6101 | 2018-08-10 |
| 1710319447 | Bhupinder Singh Romana | Specialist | 782 E Harding Way, Stockton, CA 95204-6101 | 2013-08-05 |
| 1558793760 | Tarandeep Kaur | Internal Medicine | 782 E Harding Way, Stockton, CA 95204 | 2013-07-30 |
| 1043304611 | Tonya F. Fuller | Internal Medicine | 782 E Harding Way, Stockton, CA 95204-6101 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081337 | Jagjiwan Kaur Dhatt | Family Medicine | 2426 Swainsons Hawk St, Stockton, CA 95209-4281 | 2020-07-28 |
| 1114167764 | Harshjit Singh | Family Medicine | 7373 West Ln Ste 360, Stockton, CA 95210-3377 | 2009-02-23 |
| 1598928822 | Samira Chaudhry Jahangiri | Family Medicine | 3132 W. March Ln, Stockton, CA 95219 | 2008-07-07 |
| 1316116890 | Rami Georgies | Family Medicine | 8001 Lorraine Ave, Stockton, CA 95210 | 2008-02-28 |
| 1245443654 | Kulendu Ghanshyam Vasavda | Family Medicine | 221 Tuxedo Ct, Suite C, Stockton, CA 95204-5261 | 2007-05-08 |
| 1306990015 | Sierra Occupational Services | Family Medicine | 1429 W Fremont St, Stockton, CA 95203-2627 | 2007-01-22 |
| 1720136138 | Elvis Akpene Tanson | Family Medicine | 4873 West Ln Ste A, Stockton, CA 95210-4548 | 2007-01-08 |
| 1679660088 | Timothy L. H. Yeh | Family Medicine | 1801 E March Ln Ste D460, Stockton, CA 95210-6629 | 2006-10-06 |
| 1386730737 | Timothy Mccarty Coats | Family Medicine | 545 E Cleveland St Ste A, Stockton, CA 95204-5535 | 2006-10-05 |
| 1598876716 | San Tso | Family Medicine | 77 W March Ln, Suite A, Stockton, CA 95207-5723 | 2006-08-31 |
| Find all providers in STOCKTON | ||||
Please comment or provide details below to improve the information on PAUL A WATERS.
| 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.