Larry R Potts, MD | |
999 San Bernardino Rd, Upland, CA 91786-4920 | |
(909) 985-2811 | |
(818) 587-2493 |
Full Name | Larry R Potts |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 999 San Bernardino Rd, Upland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679596191 | NPI | - | NPPES |
00G276020 | Medicaid | CA | |
00G276020 | Other | CA | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G27602 (California) | Primary |
Entity Name | Mountain View Emergency Physicians Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619923653 PECOS PAC ID: 5092606376 Enrollment ID: O20040324000887 |
Entity Name | Mountain View Urgent Care Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023306784 PECOS PAC ID: 7214107861 Enrollment ID: O20110908002279 |
Mailing Address | Practice Location Address |
---|---|
Larry R Potts, MD Po Box 4419, Woodland Hills, CA 91365-4419 Ph: (818) 340-9988 | Larry R Potts, MD 999 San Bernardino Rd, Upland, CA 91786-4920 Ph: (909) 985-2811 |
Kevin J Parkes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 Fax: 818-587-2493 | |
Dr. Anthony Cabrera, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 | |
Dwight W Guan, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 Fax: 818-587-2493 | |
Heather A Crane, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 Fax: 818-587-2493 | |
Allan D Bock, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 Fax: 818-587-2493 | |
Dr. Liezl Avila, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 | |
Dennis Trigueros, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 999 San Bernardino Rd, Upland, CA 91786 Phone: 909-985-2811 |