Mr. Jonathan Waters
Military Health Care Provider (Independent Duty Corpsman)

Address: 1233 22nd Street, Unit 8, San Diego, CA 92102
Phone: 2245381816

Mr. Jonathan Waters (NPI# 1134508179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1134508179
Entity Type Individual
Full Name Mr. Jonathan Waters
Gender Male
Practice Address 1233 22nd Street, Unit 8
San Diego
CA 92102
Practice Telephone 2245381816
Mailing Address 1233 22nd St, Unit 8
San Diego
CA 92102
Mailing Telephone 2245381816
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2015-05-22
Last Update Date 2015-05-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1710I1002X Military Health Care Provider · Independent Duty Corpsman Other Service Providers

Providers with the same name

NPI Name Taxonomy Address Enumeration
1447545223 Jonathan Michael Waters Anesthesiology 4315 Diplomacy Dr, Anchorage, AK 99508-5926 2011-06-09
1114993284 Jonathan Hale Waters Specialist 300 Halket St, Pittsburgh, PA 15213-3108 2006-02-27

Taxonomy Information

Taxonomy Code 1710I1002X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Corpsman

Taxonomy Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801492145 Felicia Leanna Roberts Military Health Care Provider 2267 Reed Ave, San Diego, CA 92109-5628 2020-12-10
1720684319 Brandon Young Military Health Care Provider 3401 Farenholt Ave Building 14, San Diego, CA 92134-0001 2020-12-08
1770180648 Darius Lee Sean Woods Military Health Care Provider 6033 Sandy Shore Ct, San Diego, CA 92139-1014 2020-10-05
1174130744 Daniel Carrera Military Health Care Provider 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 2020-09-28
1316551740 Kyle Bode Francis Military Health Care Provider 3149 Murray Ridge Rd, San Diego, CA 92123-2917 2020-09-02
1255945069 Jeremy Lee Military Health Care Provider 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 2020-08-31
1013520667 Rashaad Brown Military Health Care Provider 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 2020-08-24
1932711934 Alvaro Daniel Macias Military Health Care Provider 8685 Rio San Diego Dr Apt 4344, San Diego, CA 92108-6560 2020-08-20
1689286189 Charles Luke Morris Military Health Care Provider 1675 Beta Ct, San Diego, CA 92126-7060 2020-08-18
1255943635 Stephon Peyton Frost Military Health Care Provider 2654 Mendonca Dr, San Diego, CA 92110-4263 2020-08-18
Find all providers in SAN DIEGO

Office Location

Street Address 1233 22ND STREET, UNIT 8
City SAN DIEGO
State CA
Zip Code 92102

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437766698 Daniela Tablas Behavior Analyst 303 47th St Spc D-22, San Diego, CA 92102 2020-09-30
1649745712 Juliet Lao Kurek Pharmacist 2121 Imperial Avenue, San Diego, CA 92102 2018-10-04
1851887020 Monique Joseph Counselor 2410 E. Street, San Diego, CA 92102 2018-07-10
1184166316 Elise Blanton-hubbard Counselor 1850 Dale St, San Diego, CA 92102 2016-11-04
1699221416 Kari Judith Medina Student in an Organized Health Care Education/Training Program 1199 34th Street Apt 11, San Diego, CA 92102 2016-08-31
1942674536 Caitlin Hillary Dablow Speech-Language Pathologist 1201 34th Street, San Diego, CA 92102 2015-11-19
1871989913 Abraham Greenberg Pediatrics 15 Balfour Street, Jerusalem, ISRAEL 92102 2015-04-15
1023421021 Elmira Aghdam Chiropractor 5030 Bonita Rd Ste#b, Bonita, CA 92102 2014-06-06
1487092540 Sherry Scott Marriage & Family Therapist 995 Gateway Center Drive #300, San Diego, CA 92102 2013-06-11
1316380280 Camille Grace Kelly Marriage & Family Therapist 1823 48th St, San Diego, CA 92102 2013-04-10
Find all providers in zip 92102

Competitor

Search similar providers

City SAN DIEGO
Zip Code 92102

Improve Information

Please comment or provide details below to improve the information on Mr. Jonathan Waters.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.