| James A Watson Wellness Center | |
|
5709 Market St Oakland CA 94608-2811 | |
| (510) 444-9460 | |
| Not Available |
| Full Name | James A Watson Wellness Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 5709 Market St, Oakland, California |
| Authorized Official Name and Position | Robert Phillips (CEO) |
| Authorized Official Contact | 5106146829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James A Watson Wellness Center 700 Adeline St Oakland CA 94607-2608 Ph: (510) 835-9610 | James A Watson Wellness Center 5709 Market St Oakland CA 94608-2811 Ph: (510) 444-9460 |
| NPI Number | 1043331630 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 9537062302 |
|---|---|
| Medicare Enrollment ID | O20200512002357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043331630 | NPI | - | NPPES |
| 010171000 | Medicaid | CA | |
| 1306967021 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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