JAIME POTTER (NPI# 1982130415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982130415 |
| Entity Type | Individual |
| Full Name | JAIME POTTER |
| Credential | MS, AT |
| Practice Address |
800 N State College Blvd Fullerton CA 92831-3547 |
| Mailing Address |
4020 E 15th St Long Beach CA 90804-3032 |
| Practice Telephone | 6572784987 |
| Mailing Telephone | 9372726567 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588076293 | Jaime Potter | Community Health Worker | 501 Albany Ave, Torrington, WY 82240-1503 | 2014-05-29 |
| Street Address |
800 N STATE COLLEGE BLVD |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083641013 | Tricia Mikiko Kasamatsu | Specialist/Technologist | 800 N State College Blvd, Attn: Kinesiology, Fullerton, CA 92831-3547 | 2006-06-26 |
| 1720551237 | Merrisa Carlson | Nurse Practitioner | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2019-01-08 |
| 1538639919 | Anna Marie Peery | Midwife | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-11-28 |
| 1558860221 | Samuel Arnold | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-02-07 |
| 1013415967 | Andee Monterone | Student in an Organized Health Care Education/Training Program | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-01-25 |
| 1184132615 | Kevin Benjamin Perez | Counselor | 800 N State College Blvd, Fullerton, CA 92831-3599 | 2018-01-18 |
| 1487161147 | Holly Vigario | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2018-01-03 |
| 1992211403 | Juan Carlos Madrigal | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2017-12-19 |
| 1134655178 | Elena Soler | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 92831-3547 | 2017-05-11 |
| 1265968721 | Kyle Anderson Burnett | Specialist/Technologist | 800 N State College Blvd, Fullerton, CA 93834-9001 | 2017-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184284432 | Yen Po Wang | Specialist/Technologist | 1920 Celeste Ln, Fullerton, CA 92833-1808 | 2019-06-18 |
| 1215436068 | Chaz Kekipi | Specialist/Technologist | 1200 S Highland Ave Apt 141, Fullerton, CA 92832-2993 | 2018-02-07 |
| 1588185789 | Justin Hostert | Specialist/Technologist | 1106 Kroeger Ave, Fullerton, CA 92831-2836 | 2017-06-28 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1427401173 | Claudio Martin Jr. | Specialist/Technologist | 1500 W Valencia Dr, Fullerton, CA 92833-3941 | 2016-07-18 |
| 1417314451 | James Allen Gentry Jr. | Specialist/Technologist | 901 W Baker Ave, Fullerton, CA 92832-3107 | 2016-01-21 |
| 1699162453 | Isabel Archuleta | Specialist/Technologist | 223 W Wilshire Ave, Fullerton, CA 92832-1802 | 2015-04-20 |
| 1184021982 | Tyler Golden | Specialist/Technologist | 2472 Cambridge Ave, Fullerton, CA 92835-3140 | 2014-11-24 |
| 1578758892 | Kimberly Ann Jaramillo | Specialist/Technologist | 2500 Nutwood Ave, Fullerton, CA 92831-3104 | 2007-09-10 |
| 1205866779 | Juan E. Cuevas | Specialist/Technologist | 321 E Chapman Ave, Fullerton, CA 92832-2011 | 2006-07-03 |
| Find all providers in FULLERTON | ||||
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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.