Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Deep Waters Psychiatric Medical Group, Inc

Organization Psychiatry Physician · NPI 1770024119

Deep Waters Psychiatric Medical Group, Inc provides Psychiatry Physician services in Rancho Cucamonga, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9531 Pittsburgh Ave
Rancho Cucamonga, CA 91730-6008
Phone: (909) 256-8360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X (CA)

Record details

NPI number1770024119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Maurer — Corporate Secretary · (888) 984-7888
NPI enumeratedMarch 18, 2017
Last updated in NPPESMarch 18, 2017
Mailing addressPo Box 11387, San Bernardino, CA 92423-1387

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