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MICHAEL CHARLES WATUNG DNP, FNP-BC
NPI 1780221796
Nurse Practitioner - Family in Oakland, CA

Active since December 09, 2019PECOS Enrolled
2950 INTERNATIONAL BLVD, OAKLAND, CA 94601(510) 535-4400 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 19, 2021, Aug 4, 2021, Jun 22, 2020 and 2 more (5 updates tracked since 2019).

About Michael Charles Watung Dnp, Fnp-bc NPPES

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

MICHAEL CHARLES WATUNG DNP, FNP-BC (NPI 1780221796) is an individual family provider in Oakland, California, licensed in California (95013395) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780221796
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL CHARLES WATUNGCredential: DNP, FNP-BC
Location Address2950 INTERNATIONAL BLVDOakland, CA 94601-2228
Mailing Address742 W Highland AveSan Bernardino, CA 92405-3839 · (909) 881-7320
Phone(510) 535-4400
Sole ProprietorYes
Enumeration DateDecember 9, 2019
Last NPPES UpdateNovember 19, 20215 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1780221796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95013395
2950 INTERNATIONAL BLVD, Oakland, CA 94601
Open in Google Maps ↗

Secondary Practice Locations 2

Location 111234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 555-4000
Location 2742 W Highland AveSan Bernardino, CA 92405-3839 · Phone (909) 881-7320 · Fax (909) 881-7330

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Charles Watung Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94601 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

KATHY TUTINO
Dental Hygienist
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4450
COLLEEN MCCULLOUGH FNP
Nurse Practitioner (Family)
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4400
HEIDY SOFIA RAMOS FERNANDEZ RN
Registered Nurse
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 434-5300
SARAH GILSTRAP
Registered Nurse
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4410
CASEY JAKE SMITH
Internal Medicine
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (505) 862-2029
SIMONE MARIE GARRIGUES M.A., L.C.S.W.
Social Worker (Clinical)
2950 INTERNATIONAL BLVD, NATIVE AMERICAN HEALTH CENTER
OAKLAND, CA 94601
Alameda County (510) 535-4400
CRYSTAL HUANG MD
Family Medicine
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 535-4400
KYOUNG WON HAN DDS
Dentist
2950 INTERNATIONAL BLVD
OAKLAND, CA 94601
Alameda County (510) 485-5925

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 Michael Watung's NPI number?

The NPI number for Michael Watung is 1780221796. It was assigned to this individual provider in the NPPES registry on December 9, 2019.

Where is Michael Watung located?

Michael Watung practices at 2950 International Blvd, Oakland, CA 94601. The listed phone number is (510) 535-4400.

What is Michael Watung's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Watung enrolled in Medicare?

Yes. Michael Watung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Watung was last updated on November 19, 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.