Mark Immanuel Potes, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A207282 Issued in CA

Practice address

17043 Main St
Hesperia, CA 92345-6055

Phone

(760) 241-6666

NPI assigned

Mar 23, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Mark Immanuel Valdez Potes Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1295438752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17043 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17043 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456055",
            "telephone_number": "760-241-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTES",
        "first_name": "MARK",
        "middle_name": "IMMANUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-23",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A207282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "POTES",
            "middle_name": "IMMANUEL VALDEZ",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bernice Pleskot, O.D.
• Lisa Marie Plumb, MFTI
• Janet J Pompa, B.S
• Juana Lourdes Porras
• Charles Portales
• Javid Pour-Ghasemi, DMD
• April Joy Power
• Maria Preciado Gallardo
• Preferred Non-Emergency Transport
• Primary Care Skin Solutions & Psoriasis Treatment Inc

• Family Medicine Physician in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.