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JASON JOSEPH WATERMAN M.D.
NPI 1275720856
Internal Medicine - Sports Medicine in Harbor City, CA

Active since September 27, 2007PECOS EnrolledAccepts Medicare Assignment
25821 VERMONT AVE, COASTLINE MEDICAL OFFICE - DEPARTMENT OF ORTHOPEDICS, HARBOR CITY, CA 90710(424) 251-7371 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jason Joseph Waterman M.d. NPPES

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

JASON JOSEPH WATERMAN M.D. (NPI 1275720856) is an individual sports medicine provider in Harbor City, California, licensed in California (A108207) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1275720856
Entity TypeIndividualMale
Primary Taxonomy207RS0010X
Provider Legal NameJASON JOSEPH WATERMANCredential: M.D.
Location Address25821 VERMONT AVE, COASTLINE MEDICAL OFFICE - DEPARTMENT OF ORTHOPEDICSHarbor City, CA 90710-3518
Mailing Address25821 Vermont Ave, Coastline Medical Office - Department Of OrthopedicsHarbor City, CA 90710-3518 · (424) 251-7371
Phone(424) 251-7371
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 27, 2007
Last NPPES UpdateNovember 29, 2021
✔ NPI 1275720856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
License✔ Licensed in CA · A108207
Definition
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
25821 VERMONT AVE, Harbor City, CA 90710
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Joseph Waterman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901945500
PECOS Enrollment IDI20091119000585
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

DR. CARRIE MADDEN PHARM D
Pharmacist (Ambulatory Care)
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7078
DR. RICARDO JOSEPH HERRERA PT, DPT, FAAOMPT
Physical Therapist
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (951) 378-1599
KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
25821 VERMONT AVE, FL 1
HARBOR CITY, CA 90710
Los Angeles County (844) 424-1866
DR. BRIAN AKBARI AHANGAR M.D.
Physical Medicine & Rehabilitation
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7000
MRS. BICH-THUY GRONER
Pharmacist
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7120
DR. JULIE J LEE MD
Internal Medicine (Infectious Disease)
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7060
MRS. LALISA DAVIDSON RCP
Respiratory Therapist, Registered (General Care)
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7184
DR. DONAVON TYLER WRIGHT D.P.M.
Podiatrist (Foot & Ankle Surgery)
25821 VERMONT AVE
HARBOR CITY, CA 90710
Los Angeles County (424) 251-7315

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 Jason Waterman's NPI number?

The NPI number for Jason Waterman is 1275720856. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Where is Jason Waterman located?

Jason Waterman practices at 25821 Vermont Ave Coastline Medical Office - Department Of Orthopedics, Harbor City, CA 90710. The listed phone number is (424) 251-7371.

What is Jason Waterman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Jason Waterman enrolled in Medicare?

Yes. Jason Waterman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jason Waterman was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.