DR. MITCHELL WATANABE MD
NPI 1528049996
Family Medicine in Santa Ana, CA

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
1212 W 17TH ST, SANTA ANA, CA 92706(714) 641-7100(714) 434-4500 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mitchell Watanabe Md NPPES

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

DR. MITCHELL WATANABE MD (NPI 1528049996) is an individual family medicine provider in Santa Ana, California, licensed in California (A44130) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1528049996
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MITCHELL WATANABECredential: MD
Location Address1212 W 17TH STSanta Ana, CA 92706-3418
Mailing Address2742 Dow AveTustin, CA 92780-7242 · (714) 665-1600
Fax(714) 434-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 10, 2005
Last NPPES UpdateJune 21, 2011
NPI 1528049996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A44130
Definition
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.
1212 W 17TH ST, Santa Ana, CA 92706

Other Identifiers 4

Medicaid00A441300CA
Medicare UPINE99308CA
Medicare PINWA44130FCA
Medicare PINET939ZCA

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

Dr. Mitchell Watanabe Md 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 ID7810025970
PECOS Enrollment IDI20100511000242
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services54 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
93 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers35 claims35 services$60.44 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$27.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Family Medicine
1212 W 17TH ST
SANTA ANA, CA 92706
Nurse Practitioner
1212 W 17TH ST
SANTA ANA, CA 92706
Family Medicine
1212 W 17TH ST
SANTA ANA, CA 92706
Family Medicine
1212 W 17TH ST
SANTA ANA, CA 92706
Family Medicine
1212 W 17TH ST
SANTA ANA, CA 92706
Physician Assistant
1212 W 17TH ST
SANTA ANA, CA 92706
Pediatrics
1212 W 17TH ST
SANTA ANA, CA 92706
Non-Pharmacy Dispensing Site
1212 W 17TH ST
SANTA ANA, CA 92706

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 Mitchell Watanabe's NPI number?

The NPI number for Mitchell Watanabe is 1528049996. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Mitchell Watanabe located?

Mitchell Watanabe practices at 1212 W 17th St, Santa Ana, CA 92706. The listed phone number is (714) 641-7100.

What is Mitchell Watanabe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mitchell Watanabe enrolled in Medicare?

Yes. Mitchell Watanabe 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 Mitchell Watanabe was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.