POTOMAC HEALTH MEDICAL OF CA PC
NPI 1417672437
Specialist in Larkspur, CA

Q: What is Potomac Health Medical Of Ca PC's NPI number?

The NPI number for Potomac Health Medical Of Ca PC is 1417672437. It was assigned to this organization in the NPPES registry on October 12, 2022.

Q: What is Potomac Health Medical Of Ca PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 12, 2022

11 PIEDMONT ROAD, LARKSPUR, CA 94939(860) 282-4128 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 17, 2022, Oct 12, 2022 (2 updates tracked since 2022).

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About Potomac Health Medical Of Ca Pc NPPES

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

POTOMAC HEALTH MEDICAL OF CA PC (NPI 1417672437) is a healthcare organization registered as a specialist in Larkspur, California and active in the NPI registry since October 2022. The organization lists Jay A Kimmel, President/owner, as its authorized official.

NPPES Registry Identity

NPI1417672437

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePOTOMAC HEALTH MEDICAL OF CA PC

Location Address11 PIEDMONT ROADLarkspur, CA 94939

Mailing Address1177 High Ridge RdStamford, CT 06905-1221

Phone(860) 282-4128

Organization SubpartNo

Authorized OfficialJay A KimmelPresident/owner · (860) 282-4128

Enumeration DateOctober 12, 2022

Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration

NPPES CertifiedNovember 17, 2022

✔ NPI 1417672437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

11 PIEDMONT ROAD, Larkspur, CA 94939

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Potomac Health Medical Of Ca PC's NPI number?

The NPI number for Potomac Health Medical Of Ca PC is 1417672437. It was assigned to this organization in the NPPES registry on October 12, 2022.

Where is Potomac Health Medical Of Ca PC located?

Potomac Health Medical Of Ca PC is located at 11 Piedmont Road, Larkspur, CA 94939. The listed phone number is (860) 282-4128.

What is Potomac Health Medical Of Ca PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Potomac Health Medical Of Ca PC was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.