Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maxine Pottenger, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932523081

Maxine Pottenger, MD is a Student in an Organized Health Care Education/Training Program in Fairfield, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2101 Courage Dr
Fairfield, CA 94533-6717
Phone: (707) 784-4900
Fax: (707) 399-4957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Orleans St, Baltimore, MD 21287-0010 — (410) 955-5000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A165796 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932523081
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 10, 2014
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address2101 Courage Dr, Fairfield, CA 94533-6717

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