Kyle B. Potts, M.D., Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

G64819 Issued in CA

Legal business name

KYLE B. POTTS, M.D., INC.

Practice address

805 W Acequia Ave
Suite 2-a
Visalia, CA 93291-6162

Phone

(559) 738-0450

Fax

(559) 738-0460

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kyle B. Potts, M.D.NPI 1811965221

Title

Owner

Phone

(559) 738-0450

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle B Potts, MD

  • Surgery Physician
  • Visalia, CA
  • NPI 1811965221
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1265651756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W ACEQUIA AVE",
            "address_2": "SUITE 2-A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916162",
            "telephone_number": "559-738-0450",
            "fax_number": "559-738-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W ACEQUIA AVE",
            "address_2": "SUITE 2-A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916162",
            "telephone_number": "559-738-0450",
            "fax_number": "559-738-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE B. POTTS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-738-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G64819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265651756",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "WG64819A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia A Kurihara, B.S. PHARM
• Cheryl Chin Kwok, PHARM.D.
• Yong Hwan Kwon, M.D
• Kwong and Robbins Acupuncture Corporation
• Kar May Kar May Kwong, PHARM.D.,LAC.,O.M.D.
• La Laser Center PC, a Professional Medical Corporation (Visalia Dermatology & Skin Cancer)
• Amenda La
• Hoang Tuan Huy La, DDS
• Annabelle Labuga
• Doloris Lackey

• Ambulatory Surgical Clinic/Center in Visalia, CA
• Providers in Visalia, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.