MR. GREGORY ALLEN WATERS
NPI 1902029960
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since April 10, 2007
3601 PACIFIC AVE, STOCKTON, CA 95211(209) 946-2132 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Gregory Allen Waters NPPES

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

MR. GREGORY ALLEN WATERS (NPI 1902029960) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1902029960
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. GREGORY ALLEN WATERS
Location Address3601 PACIFIC AVEStockton, CA 95211-0110
Mailing Address3601 Pacific AveStockton, CA 95211-0110 · (209) 946-2132
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1902029960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3601 PACIFIC AVE, Stockton, CA 95211

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.

Counselor
3601 PACIFIC AVE
STOCKTON, CA 95211
Student in an Organized Health Care Education/Training Program
3601 PACIFIC AVE, PSYCHOLOGY DEPARTMENT
STOCKTON, CA 95211
Day Training/Habilitation Specialist
3601 PACIFIC AVE
STOCKTON, CA 95211
Specialist/Technologist (Athletic Trainer)
3601 PACIFIC AVE
STOCKTON, CA 95211
Student in an Organized Health Care Education/Training Program
3601 PACIFIC AVE
STOCKTON, CA 95211
Dentist
3601 PACIFIC AVE
STOCKTON, CA 95211
Student in an Organized Health Care Education/Training Program
3601 PACIFIC AVE
STOCKTON, CA 95211
Day Training/Habilitation Specialist
3601 PACIFIC AVE
STOCKTON, CA 95211

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 Gregory Waters's NPI number?

The NPI number for Gregory Waters is 1902029960. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Gregory Waters located?

Gregory Waters practices at 3601 Pacific Ave, Stockton, CA 95211. The listed phone number is (209) 946-2132.

What is Gregory Waters's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Gregory Waters was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.