Healthcare Provider Details

I. General information

NPI: 1760316863
Provider Name (Legal Business Name): ADRIANNA WATSON ND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 BLOSSOM HILL RD STE A2
LOS GATOS CA
95032-3583
US

IV. Provider business mailing address

13009 W PERSHING CT
EL MIRAGE AZ
85335-6365
US

V. Phone/Fax

Practice location:
  • Phone: 408-761-6781
  • Fax:
Mailing address:
  • Phone: 623-760-6248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1630
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: