MATTHEW E POTTS (NPI# 1821011347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821011347 |
| Entity Type | Individual |
| Full Name | MATTHEW E POTTS |
| Credential | MD |
| Practice Address |
999 San Bernardino Rd Upland CA 91786-4920 |
| Mailing Address |
Po Box 4419 Woodland Hills CA 91365-4419 |
| Practice Telephone | 9099852811 |
| Practice Fax Number | 8185872493 |
| Mailing Telephone | 8183409988 |
| Mailing Fax Number | 8185872493 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A85732 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00A857320 | 01 |
| CA | 00A857320 | 05 | |
| CA | RAILROAD MEDICARE | P00201559 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306174008 | Matthew B Potts | Neurological Surgery | 676 North St. Clair Street, Suite 2210, Chicago, IL 60611 | 2009-11-18 |
| 1407839079 | Matthew Ray Potts | Physician Assistant | 354 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2005-11-28 |
| Street Address |
999 SAN BERNARDINO RD |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681189 | San Antonio Regional Hospital | General Acute Care Hospital | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2005-06-30 |
| 1922643931 | Angie Ling | Physician Assistant | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2019-11-13 |
| 1326683582 | Wendy Karina Barreto II | General Practice | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2019-11-12 |
| 1942843511 | Chen Liang | Physician Assistant | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2019-10-25 |
| 1780225359 | Rebecca Ann Paquette | Registered Nurse | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2019-10-03 |
| 1902378979 | Michael S Yeh | Physician Assistant | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2019-01-01 |
| 1629563044 | Christine Le Dang | Nurse Practitioner | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2018-06-27 |
| 1487169041 | Junghwa Kim | Pharmacist | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2017-12-05 |
| 1790298958 | Sarah Shin | Physical Therapist | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2017-11-09 |
| 1063922284 | Dulce R De Castro M D A Professional Corporation | Pathology | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2017-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518490135 | Christopher Velasquez | Emergency Medicine | 481 Fremont St, Upland, CA 91784 | 2017-04-10 |
| 1033556808 | Julia Todd | Emergency Medicine | One Medical Center Bvld, Upland, PA 19013 | 2013-06-03 |
| 1366403289 | Jeffrey Stephen George | Emergency Medicine | One Medical Center Boulevard, Crozer Chester Medical Center, Upland, PA 19013 | 2006-03-30 |
| 1487064515 | Liezl Avila | Emergency Medicine | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2014-04-28 |
| 1639410921 | Dalia M Nassman | Emergency Medicine | 999 San Bernardino Rd, Upland, CA 91786 | 2013-03-12 |
| 1114161007 | Anthony Cabrera | Emergency Medicine | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2009-04-23 |
| 1154426500 | Jing Wei | Emergency Medicine | One Medical Center Boulevard, Crozer Chester Medical Center, Upland, PA 19013 | 2006-09-13 |
| 1528072956 | Karena M Rosa | Emergency Medicine | 1 Medical Center Blvd, Crozer Chester Medical Center, Upland, PA 19013 | 2006-07-28 |
| 1619981743 | Deborah L Washke | Emergency Medicine | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2006-07-27 |
| 1205859063 | Heather A Crane | Emergency Medicine | 999 San Bernardino Rd, Upland, CA 91786-4920 | 2006-07-25 |
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| 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.