MS. CANDITA POTTS NURSE PRACTITIONER
NPI 1043753353
Nurse Practitioner - Women's Health in Lynwood, CA

Q: What is Candita Potts's NPI number?

The NPI number for Candita Potts is 1043753353. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Q: What is Candita Potts's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Candita Potts was last updated on September 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 18, 2016PECOS Enrolled

3628 E IMPERIAL HWY, LYNWOOD, CA 90262(310) 603-2345 Get Directions Write a Review

NPPES record last updated: September 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Candita Potts Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CANDITA POTTS NURSE PRACTITIONER (NPI 1043753353) is an individual women's health provider in Lynwood, California, licensed in California (95000414) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1043753353

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameMS. CANDITA POTTSCredential: NURSE PRACTITIONER

Location Address3628 E IMPERIAL HWYLynwood, CA 90262-2643

Mailing AddressPo Box 92873Long Beach, CA 90809

Phone(310) 603-2345

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 18, 2016

Last NPPES UpdateSeptember 6, 2017

✔ NPI 1043753353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 95000414

3628 E IMPERIAL HWY, Lynwood, CA 90262

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Secondary Practice Location 1

Location 1400 W 30th StLos Angeles, CA 90007-3320 · Phone (213) 284-3200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Candita Potts Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961993209

PECOS Enrollment IDI20251114002338

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90262 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.