1. Home
  2. Directory
  3. California
  4. Kentfield
  5. Internal Medicine
  6. NPI Profile

SUSAN E WATERS M.D.
NPI 1629005772
Internal Medicine in Kentfield, CA

Active since June 26, 2006
1125 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904(415) 485-3524(415) 485-3507 Get Directions Write a Review

NPPES record last updated: October 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan E Waters M.d. NPPES

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

SUSAN E WATERS M.D. (NPI 1629005772) is an individual internal medicine provider in Kentfield, California, licensed in California (G43530) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1629005772
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUSAN E WATERSCredential: M.D.
Location Address1125 SIR FRANCIS DRAKE BLVDKentfield, CA 94904-1418
Mailing Address1125 Sir Francis Drake BlvdKentfield, CA 94904-1418 · (415) 485-3524 · Fax (415) 485-3507
Phone(415) 485-3524
Fax(415) 485-3507
Sole ProprietorYes
Enumeration DateJune 26, 2006
Last NPPES UpdateOctober 23, 2008
✔ NPI 1629005772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G43530
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1125 SIR FRANCIS DRAKE BLVD, Kentfield, CA 94904
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified00G435301CA
Medicaid00G435300CA
Medicare UPINF02364CA

Other Providers at the Same Location NPPES 20

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

MR. ARCHIMEDES RAMIREZ M.D.
Neurological Surgery
1125 SIR FRANCIS DRAKE BLVD, SUITE A
KENTFIELD, CA 94904
Marin County (415) 485-3500
TIMOTHY LIU M.D., M.S.
Internal Medicine
1125 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 456-9680
AARON PARK
Internal Medicine
1125 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 456-9680
JOHN ELTON CRANSHAW M.D.
Internal Medicine
1125 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 456-9680
STEPHANIE N YARNOVICH
Pharmacy Technician
1125 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 456-9680
DR. ROBERT PHILIP LASSER PH.D.
Psychologist (Rehabilitation)
1125 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (415) 485-3629
MRS. STEFANIE MARIA GHISLETTA PT
Physical Therapist
1125 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904
Marin County (707) 484-4927
MRS. APRIL AZUCENA GONZALEZ PA-C
Physician Assistant
1125 SIR FRANCIS DRAKE BLVD, SUITE A
KENTFIELD, CA 94904
Marin County (415) 485-3541

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 Susan Waters's NPI number?

The NPI number for Susan Waters is 1629005772. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Susan Waters located?

Susan Waters practices at 1125 Sir Francis Drake Blvd, Kentfield, CA 94904. The listed phone number is (415) 485-3524.

What is Susan Waters's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Susan Waters was last updated on October 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.