Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deep Waters Psychiatric Medical Group, Inc

Organization Psychiatry Physician · NPI 1770024119

Deep Waters Psychiatric Medical Group, Inc is a Psychiatry Physician in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9531 Pittsburgh Ave
Rancho Cucamonga, CA 91730-6008
Phone: (909) 256-8360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (CA)

Record details

NPI number1770024119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Maurer — Corporate Secretary · (888) 984-7888
NPI enumeratedMarch 18, 2017
Last updated in NPPESMarch 18, 2017
Mailing addressPo Box 11387, San Bernardino, CA 92423-1387

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