PAUL A. WATERS MD – NPI #1730191065
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.

PAUL WATERS is a physician located in STOCKTON, CA. NPPES has assigned the NPI number 1730191065 to PAUL WATERS on August 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Dec 01, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAUL WATERS below.

NPI Profile for
PAUL A. WATERS

NPI Number
1730191065
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PAUL A. WATERS
Credentials
MD
Primary location
782 E HARDING WAY
STOCKTON, CA 95204-6101
Phone: (209) 475-5500 Fax: (209) 466-1982
Mailing address
3400 DATA DR
RANCHO CORDOVA, CA 95670-7956
Phone: Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CA C23567

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.