person
David A. Watkins, CMA
Medical Physician Assistant in Santa Cruz, California
NPI 1013250042

David A. Watkins is a Medical Physician Assistant based in Santa Cruz, CA and is specialized in Medical. David A. Watkins practices in Santa Cruz, CA and has the professional credentials of CMA. The NPI Number for David A. Watkins is 1013250042 and holds a License No. CCMA-C 4816-04 (California).

The current practice location address for David A. Watkins is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4170.

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
person
Provider Profile Details
NPI Number
1013250042
Provider Name
David A. Watkins
Credential
CMA
Provider Entity Type
Individual
Gender
Male
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-454-4170
Fax Number
Provider Enumeration Date
03/27/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC 70042F 01 CA MEDI-CAL GROUP NUMBER
FHC 70044F 01 CA MEDI-CAL GROUP NUMBER
ZZZ91891Z 01 CA COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
ZZZ91892Z 01 CA COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
ZZZ92069Z 01 CA COUNTY OF SANTA CRUZ MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
CCMA-C 4816-04 (California)
Definition
Definition to come...
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