Individual
FREDERICK SOMMERVIL WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 S SAN MATEO DR, SAN MATEO, CA 94401-3857
(650) 652-8600
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 652-8600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
306537
NY
207RC0000X
Cardiovascular Disease Physician
A48257
CA
207RI0011X
Interventional Cardiology Physician
A48257
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A482570
—
CA
Enumeration date
10/07/2005
Last updated
10/21/2025
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