DR. AMY G WATSON (MD) – Family Medicine Physician, NPI 1033349998

DR. AMY G WATSON (MD) is a healthcare provider. based in San jose, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A104098 (CA). The NPI Number for DR. AMY G WATSON (MD) is 1033349998

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMY G WATSON (MD)
NPI
1033349998
Phone
(408) 283-7676
Address
455 OCONNOR DR
Enumeration Date
24 July 2009
Last Update Date
24 July 2009

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
40844534003730
Graduation Year
2006 (20 years ago)
PAC ID
2961543426
Group Practice PAC ID
1153406665
Professional Enrollment ID
I20100105000749
Address ID
CA951255212SA1333XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

13,237 FAMILY PRACTICE in CA

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Provider Addresses for DR. AMY G WATSON (MD)

  • 455, O’Connor Drive, Rose Garden, San Jose, Santa Clara County, California, 95128, United States

    SUITE 200

    SAN JOSE, CA 951281633

    Phone: (408) 283-7676

    Fax: (408) 283-7646

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-01-05

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100105000749IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153406665View full group profile
NameSpecialtyState
Internal MedicineCA
Nurse PractitionerCA
Family PracticeCA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA
Family Practice, Osteopathic Manipulative MedicineCA
Clinical PsychologistCA
Family PracticeCA
Nurse PractitionerCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the registry number for DR. AMY G WATSON (MD)?
The registry entry for DR. AMY G WATSON (MD) shows NPI 1033349998.
Should I treat DR. AMY G WATSON (MD) as an active provider?
Patients and plans typically see DR. AMY G WATSON (MD) as active in the national extract.
What type of care does DR. AMY G WATSON (MD) provide?
DR. AMY G WATSON (MD)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. AMY G WATSON (MD)?
The directory associates DR. AMY G WATSON (MD) with San Jose, California. Check all listed addresses for suites or satellite offices.
Can I export DR. AMY G WATSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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