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Deactivated NPI 1083740948 Deactivated / Inactive NPI Male Practitioner

John Potter , BA

Specialist • Eureka, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Potter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 26, 2007
NPI Deactivation Date November 20, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

John Potter, BA was a registered Specialist practicing in Eureka, CA. Throughout an active medical career spanning 11 years, John Potter provided care at the practice location at 3960 WALNUT DR until profile deactivation on 2018-11-20.

Practice Location & Contact Primary Location

Practice Address

3960 Walnut Dr

Eureka, CA 955038938

Telephone 7072688722
Fax 7072680218
Associated Practice Facility / Clinic
🏢 Remi Vista Inc. Facility NPI 1558314161

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Eureka, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.7 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
38 Specialists

Practicing in Eureka, CA (6446 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Chisana White

Case Manager/Care Coordinator

NPI 1003198441
Conner Norwood

Community Health Worker

NPI 1003631409
Brittney Hosley

Case Manager/Care Coordinator

NPI 1013310838
Maixee Yang , RS

Case Manager/Care Coordinator

NPI 1013432954
Ashley Warren

Case Manager/Care Coordinator

NPI 1013551936
Karyn Clark

Case Manager/Care Coordinator

NPI 1033455068

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 20, 2018

Record deactivated on November 20, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3960 WALNUT DR, EUREKA, CA 955038938 (Tel: 7072688722)

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Updated Business Mailing Address July 08, 2007

Registered at 3960 WALNUT DR, EUREKA, CA 955038938 (Tel: 7072688722)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN POTTER, B.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist

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Initial NPI Registration & Enumeration February 26, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083740948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2007
Last Update: July 08, 2007
Deactivation Date: November 20, 2018

Mailing Address

3960 Walnut Dr

Eureka, CA 955038938

Phone: 7072688722

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.