MARK WATANABE
NPI 1043733660
Dentist - General Practice in Vallejo, CA

Active since July 25, 2017
201 WALNUT AVE, VALLEJO, CA 94592(707) 562-8229 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2020, Jul 25, 2017 (2 updates tracked since 2017).

About Mark Watanabe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK WATANABE (NPI 1043733660) is an individual general practice provider in Vallejo, California, licensed in California (102904) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1043733660
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMARK WATANABE
Location Address201 WALNUT AVEVallejo, CA 94592-1107
Mailing Address37475 Bay Crest RdNewark, CA 94560-3554
Sole ProprietorYes
Enumeration DateJuly 25, 2017
Last NPPES UpdateJune 24, 20202 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
NPI 1043733660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 102904
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
201 WALNUT AVE, Vallejo, CA 94592

Accepted Insurance

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
201 WALNUT AVE
VALLEJO, CA 94592
Nurse Practitioner (Adult Health)
201 WALNUT AVE
VALLEJO, CA 94592
Social Worker (Clinical)
201 WALNUT AVE
VALLEJO, CA 94592
Dental Hygienist
201 WALNUT AVE
VALLEJO, CA 94592
Registered Nurse (Diabetes Educator)
201 WALNUT AVE
VALLEJO, CA 94592
Student in an Organized Health Care Education/Training Program
201 WALNUT AVE
VALLEJO, CA 94592
Dentist
201 WALNUT AVE
VALLEJO, CA 94592
Department of Veterans Affairs (VA) Pharmacy
201 WALNUT AVE
VALLEJO, CA 94592

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Watanabe's NPI number?

The NPI number for Mark Watanabe is 1043733660. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Mark Watanabe located?

Mark Watanabe practices at 201 Walnut Ave, Vallejo, CA 94592. The listed phone number is (707) 562-8229.

What is Mark Watanabe's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mark Watanabe accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Mark Watanabe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Watanabe was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.