KYLE B. POTTS, M.D., INC. (NPI# 1265651756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265651756 |
| Entity Type | Organization |
| Organization Name | KYLE B. POTTS, M.D., INC. |
| Practice Address |
805 W Acequia Ave Suite 2-a Visalia CA 93291-6162 |
| Practice Telephone | 5597380450 |
| Practice Fax Number | 5597380460 |
| Mailing Telephone | 5597380450 |
| Mailing Fax Number | 5597380460 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2011-03-16 |
| Authorized Official Name | DR. KYLE B. POTTS (OWNER) |
| Authorized Official Telephone | 5597380450 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
G64819 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1265651756 | 05 | |
| CA | MEDICARE ID | WG64819A | 01 |
| Street Address |
805 W ACEQUIA AVE SUITE 2-A |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-6162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427054477 | Thomas Cook | Dermatology | 805 W Acequia Ave, Suite 1b, Visalia, CA 93291-6162 | 2005-06-23 |
| 1003089566 | Joy T. Torakawa, M.d., Inc. | Dermatology | 805 W Acequia Ave, Suite 2c, Visalia, CA 93291-6162 | 2008-04-05 |
| 1033250063 | Thomas F. Cook Md., Inc | Dermatology | 805 W Acequia Ave, Suite 1b, Visalia, CA 93291-6162 | 2007-02-11 |
| 1730267485 | Larry L. Nava, R.p.t., Inc. | Physical Therapist | 805 W Acequia Ave, Suite 1c, Visalia, CA 93291-6162 | 2006-11-01 |
| 1932289162 | Kalyani Kandarp Shah | Internal Medicine | 805 W Acequia Ave, Suite 2d, Visalia, CA 93291 | 2006-10-16 |
| 1134209026 | Larry Lujan Nava | Physical Therapist | 805 W Acequia Ave, Suite 1c, Visalia, CA 93291-6162 | 2006-10-16 |
| 1992730238 | Edna Mae Harris | Registered Nurse | 805 W Acequia Ave, # 2d, Visalia, CA 93291-6162 | 2006-07-12 |
| 1811965221 | Kyle B Potts | Surgery | 805 W Acequia Ave, Suite 2-a, Visalia, CA 93291-6162 | 2006-03-10 |
| 1053318659 | Joy Torakawa | Dermatology | 805 W Acequia Ave, Suite 2c, Visalia, CA 93291-6162 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770906141 | Millcreek Ambulatory Surgery Center | Clinic/Center | 2822 W Main St, Visalia, CA 93291-4331 | 2014-01-21 |
| 1124333497 | Barnes Dental Corporation Inc | Clinic/Center | 2626 S. Mooney Blvd, Suite C, Visalia, CA 93277 | 2010-08-11 |
| 1891732202 | Visalia Center for Ambulatory Medicine and Surgery | Clinic/Center | 111 E Noble Ave, Visalia, CA 93277-2700 | 2006-06-02 |
| 1992752794 | Sierra Ambulatory Surgery Center, A Medical Corporation | Clinic/Center | 2828 W Main St, Visalia, CA 93291-4331 | 2006-05-27 |
| 1457329963 | Sequoia Surgery Center, LLC | Clinic/Center | 842 S. Akers St, Visalia, CA 93277-8309 | 2006-03-09 |
| 1760859334 | Visalia Ambulatory Surgical Center LLC | Clinic/Center | 105 E Noble Ave, Visalia, CA 93277-2717 | 2015-08-29 |
| 1053643783 | Visalia Children's Dental Surgery Center Inc | Clinic/Center | 136 Aspen Court, Suite A, Visalia, CA 93291 | 2010-02-05 |
| 1639267388 | Medical Arts Ambulatory Surgery Center | Clinic/Center | 205 S West St, Suite B, Visalia, CA 93291-6112 | 2006-10-10 |
| 1235187972 | Noble Surgery Center | Clinic/Center | 5021 W Noble Ave, Suite B, Visalia, CA 93277-8310 | 2006-05-05 |
| 1679534614 | Courtyard Surgery Pavilion, Inc | Clinic/Center | 112 N Akers St, Suite B, Visalia, CA 93291-5121 | 2006-03-29 |
| Find all providers in VISALIA | ||||
Please comment or provide details below to improve the information on KYLE B. POTTS, M.D., INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.