Diana Potterveld, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA57772 Issued in CA

Practice address

330 S Garfield Ave Ste 300
Alhambra, CA 91801-3893

Phone

(626) 798-0706

NPI assigned

Jan 31, 2020

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Planned Parenthood Pasadena and San Gabriel Valley Inc

  dba Planned Parenthood Pasadena

  • Community Health Clinic/Center
  • Pasadena, CA
  • NPI 1073669040
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174154744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N LAKE AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S GARFIELD AVE STE 300",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013893",
            "telephone_number": "626-798-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTERVELD",
        "first_name": "DIANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA57772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pak Nin Poon
• Edna Catalina Portillo de la Cruz, RD
• David Alexander Portillo-Reyes
• Sandra Libby Portillo
• Sergey Potapov
• Irma Preciado
• Silvia Raquel Preciado
• Precision Surgery Professional Corporation
• Preferred Medical Group Inc
• Premiere Home Health, Inc.

• Physician Assistant in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.