CAMERON J POTTS SP
NPI 1255539102
Speech-Language Pathologist in San Diego, CA

Active since July 03, 2007
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-5000 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cameron J Potts Sp NPPES

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

CAMERON J POTTS SP (NPI 1255539102) is an individual speech-language pathologist provider in San Diego, California, licensed in California (SP12730) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1255539102
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCAMERON J POTTSCredential: SP
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address393 E Walnut St, 3rd Floor - Phr SystemsPasadena, CA 91188-0001 · (626) 405-7914 · Fax (626) 405-6768
Sole ProprietorNo
Enumeration DateJuly 3, 2007
Last NPPES UpdateDecember 1, 2021
✔ NPI 1255539102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · SP12730
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4647 ZION AVE, San Diego, CA 92120

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cameron J Potts Sp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Cameron Potts reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cameron Potts's NPI number?

The NPI number for Cameron Potts is 1255539102. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Cameron Potts located?

Cameron Potts practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (619) 528-5000.

What is Cameron Potts's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Cameron Potts enrolled in Medicare?

Yes. Cameron Potts is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cameron Potts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cameron Potts reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cameron Potts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cameron Potts was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.