Active NPI
Margaret M Potesta, CSFA
- Surgical Assistant
- Mesa, AZ
National Provider Identifier
1508800764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 11124 E Ocaso Ave
Mesa, AZ 85212-2230 - Phone
- (480) 545-2610
- Fax
- (480) 545-2673
- NPI assigned
- Jun 16, 2006
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
11124 E Ocaso Ave
Mesa, AZ 85212-2230
Mailing address
11124 E Ocaso Ave
Mesa, AZ 85212-2230
Phone (480) 545-2610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0146170 | Other | AZ | BCBS AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1508800764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11124 E OCASO AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852122230",
"telephone_number": "480-545-2610",
"fax_number": "480-545-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11124 E OCASO AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852122230",
"telephone_number": "480-545-2610",
"fax_number": "480-545-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTESTA",
"first_name": "MARGARET",
"middle_name": "M",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AZ",
"identifier": "AZ0146170",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.