Active NPI
Jessica Potter
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5424
- Practice address
- 1 Shrader St Ste 510
San Francisco, CA 94117-1034 - Phone
- (415) 759-2014
- NPI assigned
- Apr 3, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E5424 | CA | Primary |
Addresses
Primary practice location
1 Shrader St Ste 510
San Francisco, CA 94117-1034
Mailing address
2299 Post St
Ste 205
San Francisco, CA 94115-3473
Phone (415) 292-0638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2299 Post St
Suite 205
San Francisco, CA 94115-3473
Phone (415) 292-0638
Hospital & facility affiliations
- UCSF Health St. Mary'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.65 of 100
- Quality
- 68.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 134 |
| Removal or shaving of skin growth | 190 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5424 | CA | MD | Acupuncturist |
| E5424 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Foot Care, Inc | Single Specialty | Current | Accepting new patients |
| Bay Area Foot Care Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| St. Mary'S Medical Center | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| UCSF Health Community Hospitals | Past | Accepting new patients |
Locations
19845 Lake Chabot Rd
Ste 301
Castro Valley, CA 94546
Phone (510) 581-1484
1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865
2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888
1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148
1511 Clement St
San Francisco, CA 94118
Phone (415) 387-5556
1 Shrader St
Ste 510
San Francisco, CA 94117
Phone (415) 759-2014
1 Shrader St
Ste 580
San Francisco, CA 94117
Phone (415) 292-0638
2299 Post St
Ste 205
San Francisco, CA 94115
Phone (415) 292-0638
1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711
2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211
750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575
3536 Mendocino Ave
Ste 300B
Santa Rosa, CA 95403
Phone (707) 237-3410
47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844
Interoperability endpoints
- jessica.potter.1@20181.direct.athenahealth.com
- jpotter442234@hisp.ehr.sutterhealth.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
- NPI 1508911892
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- San Jose, CA
- NPI 1649136490
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
-
- Community Based Hospice Care Agency
- Duluth, MN
- NPI 1225089634
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1174667158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630108800000",
"number": "1104211366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2299 POST ST",
"address_2": "STE 205",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153473",
"telephone_number": "415-292-0638",
"fax_number": "415-292-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHRADER ST STE 510",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941171034",
"telephone_number": "415-759-2014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-03",
"last_updated": "2021-08-28",
"certification_date": "2021-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E5424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.