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

Alyssa T Watanabe, MD

Individual provider Diagnostic Radiology Physician · NPI 1780660472

Alyssa T Watanabe, MD is a Diagnostic Radiology in Los Angeles, California. Graduated from University of California, San Francisco School of Medicine in 1987, 39 years ago. Practices with Prohealth Partners, a Medical Group, a 234-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
39
Trained at
University of California, San Francisco School of Medicine
Licensed in
CA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 San Pablo St Fl 2
Los Angeles, CA 90033-5313
Phone: (323) 442-8541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X · Licence G63862 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence G63862 (CA)

Record details

NPI number1780660472
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 15, 2005
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Prohealth Partners, A Medical Group — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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