Potomac Health Medical of Ca PC
NPI 1417672437ActiveOrganization· Specialist· Larkspur, CA
Specialist in Larkspur, California, registered in NPPES in October 2022. The authorized official on file is Jay A. Kimmel, MD, President/Owner.
Overview
| NPI | 1417672437 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 12, 2022 |
| Last updated in NPPES | Nov 17, 2022 |
| Certified by provider | Nov 17, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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