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BLAKE WATTS
NPI 1740554120
Clinic/Center - Ambulatory Surgical in Manhattan Beach, CA

Active since March 01, 2012
4123 CREST DR, MANHATTAN BEACH, CA 90266(858) 922-3145 Get Directions Write a Review

NPPES record last updated: March 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Watts NPPES

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

BLAKE WATTS (NPI 1740554120) is a healthcare organization registered as an ambulatory surgical in Manhattan Beach, California and active in the NPI registry since March 2012. The organization lists Blake Watts, Assistant Surgeon, as its authorized official.

NPPES Registry Identity

NPI1740554120
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBLAKE WATTS
Location Address4123 CREST DRManhattan Beach, CA 90266-3068
Mailing Address4123 Crest DrManhattan Beach, CA 90266-3068 · (858) 922-3145
Phone(858) 922-3145
Organization SubpartNo
Authorized OfficialBlake WattsAssistant Surgeon · (858) 922-3145
Enumeration DateMarch 1, 2012
✔ NPI 1740554120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in CA · 18112
4123 CREST DR, Manhattan Beach, CA 90266
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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 Blake Watts's NPI number?

The NPI number for Blake Watts is 1740554120. It was assigned to this organization in the NPPES registry on March 1, 2012.

Where is Blake Watts located?

Blake Watts is located at 4123 Crest Dr, Manhattan Beach, CA 90266. The listed phone number is (858) 922-3145.

What is Blake Watts's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Blake Watts was last updated on March 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.