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

Frederick Sommervil Watson, MD

Individual provider Cardiovascular Disease Physician · NPI 1568450104

Frederick Sommervil Watson, MD is a Cardiovascular Disease (Cardiology) in San Mateo, California. Graduated from University of Texas Medical Branch at Galveston in 1983, 43 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
43
Trained at
University of Texas Medical Branch at Galveston
Licensed in
CA, NY
In the registry since
2005
Specialties on file
3
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

50 S San Mateo Dr
San Mateo, CA 94401-3857
Phone: (650) 652-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 306537 (NY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence A48257 (CA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence A48257 (CA)

Record details

NPI number1568450104
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 7, 2005
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERVENTIONAL CARDIOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 1983 (43 years in practice)
Group practice Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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