DR. DEREK JOHN POTTS (NPI# 1922344365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922344365 |
| Entity Type | Individual |
| Full Name | DR. DEREK JOHN POTTS |
| Credential | DDS |
| Practice Address |
445 Rosewood Ave Suite P Camarillo CA 93010-5929 |
| Practice Telephone | 8053883319 |
| Mailing Telephone | 8053883319 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
60789 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972110575 | Derek B Potts | Behavioral Analyst | 203 S Elmer Ave, Sayre, PA 18840-2019 | 2020-09-28 |
| Street Address |
445 ROSEWOOD AVE SUITE P |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-5929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656797 | Kent W. Pollock | Chiropractor | 445 Rosewood Ave, A, Camarillo, CA 93010-5929 | 2005-08-16 |
| 1083149769 | Robert Duff | Clinical Neuropsychologist | 445 Rosewood Ave, Suite K2, Camarillo, CA 93010-5929 | 2017-05-01 |
| 1629379516 | Tyler T Taylor Chiropractic Inc | Chiropractor | 445 Rosewood Ave, Suite A, Camarillo, CA 93010-5929 | 2010-11-08 |
| 1669642120 | Joseph M. Joseph | Dentist | 445 Rosewood Ave, Suite D, Camarillo, CA 93010-5929 | 2008-03-11 |
| 1740408004 | Michael L. Potts, Dds, Inc. | Dentist | 445 Rosewood Ave, Suite P, Camarillo, CA 93010-5929 | 2007-04-23 |
| 1871607374 | Michael L Potts | Dentist | 445 Rosewood Ave, Camarillo, CA 93010-5929 | 2006-08-19 |
| 1164447827 | Tyler Thomas Taylor | Chiropractor | 445 Rosewood Ave, Suite #a, Camarillo, CA 93010-5929 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588216147 | Olivia Sugimoto | Dentist | 5800 Santa Rosa Rd Ste 101, Camarillo, CA 93012-7060 | 2019-07-14 |
| 1558728139 | Michael Acasio | Dentist | 70 E Daily Dr, Camarillo, CA 93010-5803 | 2016-01-27 |
| 1407144165 | Sukhanchal G Saini | Dentist | 4900 Verdugo Way, Suite A, Camarillo, CA 93012 | 2011-07-15 |
| 1750610127 | Cristen Dismuke Whitmer | Dentist | 4000 Calle Tecate Ste 206, Camarillo, CA 93012-5286 | 2009-12-15 |
| 1629213335 | Stars Dental Inc. | Dentist | 1727 E Daily Dr, Suite H, Camarillo, CA 93010-6202 | 2008-12-09 |
| 1841479854 | Roland E Schelenz | Dentist | 70 Daily Dr, Camarillo, CA 93010-5803 | 2007-10-25 |
| 1841486925 | Michael Karl Gerbovaz | Dentist | 401 Mobil Ave Ste 1, Camarillo, CA 93010-6329 | 2007-09-21 |
| 1710198510 | Stephen William Treible | Dentist | 5249 Mission Oaks Blvd, Camarillo, CA 93012-5403 | 2007-05-24 |
| 1679604169 | Paul A Peterson Dds Inc | Dentist | 400 W Ventura Blvd #165, Camarillo, CA 93010 | 2007-03-08 |
| 1811025836 | Neda Lisa Setareh | Dentist | 1727 Daily Dr Ste H, Camarillo, CA 93010-6202 | 2007-03-01 |
| Find all providers in CAMARILLO | ||||
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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.