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

Dr. Mitchell Watanabe, MD

Individual provider Family Medicine Physician · NPI 1528049996

Dr. Mitchell Watanabe, MD is a Family Practice in Santa Ana, California. Qualified in 1984, 42 years ago. Practices with Memorialcare Medical Foundation, a 562-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
42
Licensed in
CA
In the registry since
2005
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

1212 W 17th St
Santa Ana, CA 92706-3418
Phone: (714) 641-7100
Fax: (714) 434-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A44130 (CA)

Record details

NPI number1528049996
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 10, 2005
Last updated in NPPESJune 21, 2011

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Memorialcare Medical Foundation — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

Other providers in Santa Ana