Individual
DAVID A. WATKINS
Active
Individual
DAVID A. WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
CCMA-C 4816-04
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC 70042F
MEDI-CAL GROUP NUMBER
CA
01
—
FHC 70044F
MEDI-CAL GROUP NUMBER
CA
01
—
ZZZ91891Z
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
01
—
ZZZ91892Z
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
01
—
ZZZ92069Z
COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
CA
Enumeration date
03/27/2013
Last updated
03/27/2013
Update your record
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