KYLE B. POTTS M.D. INC. NPI 1265651756

NPI Information

NPI: 1265651756
Provider Name: KYLE B. POTTS, M.D., INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
805 W ACEQUIA AVE
SUITE 2-A
VISALIA, CA
ZIP 93291
Phone: (559) 738-0450
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KYLE B. POTTS, M.D., INC. is an ambulatory surgical clinic center in Visalia, CA. KYLE B. POTTS, M.D., INC. NPI is 1265651756. The provider is registered as an organization entity type.

The provider's business location address is:

805 W ACEQUIA AVE
SUITE 2-A
VISALIA, CA
ZIP 93291-162
Phone: (559) 738-0450
Fax: (559) 738-0460

The provider's authorized official is Kyle B. Potts .
The authorized official title is Owner and has the following contact phone number (559) 738-0450.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 3/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	G64819	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H03402	MEDICARE UPIN	CALIFORNIA
2	1265651756	MEDICAID	CALIFORNIA
3	WG64819A	OTHER	CALIFORNIA	MEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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