Search › California › 104100000X

Charles Waters

NPI 1619836616 · on the registry since 2026

Practice

Address
1971 Visitacion Ave
San Francisco, CA 94134
Phone
(415) 469-4590
Clinicians at this address
3

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
1041S0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California