Blake Watts
Blake Watts is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Manhattan Beach, CA, holding Type 2 (organization) NPI 1740554120 since 2012. The authorized official on file is Blake Watts, Assistant Surgeon.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1740554120 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blake Watts |
| Practice address | 4123 CREST DR, Manhattan Beach, CA, 90266 |
| Phone | 8589223145 |
| Enumeration date | 2012-03-01 |
| Last updated in NPPES | 2012-03-01 |
Authorized official
| Name | Blake Watts |
|---|---|
| Title | Assistant Surgeon |
| Phone | 8589223145 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | 18112 | CA |
Copy-ready billing details
Provider: Blake Watts NPI: 1740554120 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 4123 CREST DR, Manhattan Beach, CA, 90266
Verify this record
Cross-check NPI 1740554120 against the authoritative CMS record: view Blake Watts on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Blake Watts?
Who is the authorized official for Blake Watts?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-03-01.