Roy N Pottenger, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

C39298 Issued in IN

Practice address

6403 Coyle Ave
Ste 170
Carmichael, CA 95608-0363

Phone

(916) 965-4000

Fax

(916) 965-4813

NPI assigned

Aug 10, 2005

Last updated

May 19, 2008By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northern California Orthopedic Centers Medical Group

  • Orthopaedic Surgery Physician
  • Carmichael, CA
  • NPI 1821041534
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1497757587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 COYLE AVE",
            "address_2": "STE 170",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080363",
            "telephone_number": "916-965-4000",
            "fax_number": "916-965-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 COYLE AVE",
            "address_2": "STE 170",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080363",
            "telephone_number": "916-965-4000",
            "fax_number": "916-965-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTENGER",
        "first_name": "ROY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "C39298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER NUMBER",
            "identifier": "4292600001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roopinder S Poonia, M.D.
• Virginia Pop
• Edwin Porras
• Halide Porras
• Eloisa Margarette Posadas, RN
• Anthony R. Prasad
• Irene Prasad
• Shalvi Prasad, DPM
• Stephanie Annette Prater, PA-C
• Prelude 2 Independent Living, Inc.

• Orthopaedic Surgery Physician in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.