Individual provider Active NPI

Brandon Arthur Bottini, DPM

  • Podiatrist
  • Fair Oaks, CA
National Provider Identifier
1023545407
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E6136 Issued in CA
Practice address
6600 Mercy CT Ste 260
Fair Oaks, CA 95628-3190
Phone
(916) 961-3434
NPI assigned
May 17, 2017
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E1-0010266 DE
Podiatrist 213E00000X E6136 CA Primary

Addresses

Primary practice location

6600 Mercy CT Ste 260
Fair Oaks, CA 95628-3190

Mailing address

PO Box 25576
Belfast, ME 04915-2006
Phone (415) 645-4525

Other practice location 1

4433 Vestal Pkwy E
Vestal, NY 13850-3556
Phone (607) 772-8772

Other practice location 2

33-57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DE, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200618000568 NC Practitioner - Podiatry 2365864451 Reassigns benefits to 1 organization
I20210311000213 DE Practitioner - Podiatry 2365864451
I20250805003800 CA Practitioner - Podiatry 2365864451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marshall Medical CenterGroup PAC ID 7517875859, shared by 7 NPIs, 168 clinicians
Bay Area Foot Care IncGroup PAC ID 0345329686, 127 clinicians

Practice addresses (Care Compare)

4201 Town Ctr Blvd
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378

6600 Mercy CT
Suite 260
Fair Oaks, CA 95628-3190
Phone (916) 961-3434

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as apm
Quality
81.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue61
Removal of skin lesions1-10
Removal of nail tissue887
Removal or shaving of skin growth273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E6136CAMDPodiatrist
E1-0010266DEMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Artisan Foot and Ankle Podiatric Specialists Inc Podiatrist Current Accepting new patients
Bay Area Foot Care, Inc Podiatrist CurrentSince Sep 1, 2025 Accepting new patients
Bay Area Foot Care Inc Podiatrist CurrentSince Sep 1, 2025 Accepting new patients
Utah Podiatry Group LLC Podiatrist Current Accepting new patients
Premier Foot & Ankle PLLC CurrentSince Jun 11, 2020 Accepting new patients

Locations

6600 Mercy Ct
Ste 260
Fair Oaks, CA 95628
Phone (213) 739-3282

1580 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (916) 961-3434

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

730 16th St
Modesto, CA 95354
Phone (209) 529-9450

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

6000 Fairway Dr
Ste 18
Rocklin, CA 95677
Phone (916) 435-5200

576 N Sunrise Ave
Ste 230
Roseville, CA 95661
Phone (916) 961-3131

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

2121 Wilshire Blvd
Ste 103
Santa Monica, CA 90403
Phone (310) 264-0065

3031 W March Ln
Ste 310
Stockton, CA 95219
Phone (209) 472-0800

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

821 S Horner Blvd
Sanford, NC 27330
Phone (919) 292-1610

Interoperability endpoints

  • Direct secure messaging: brandon.bottini.1@20181.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1023545407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25576",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152006",
            "telephone_number": "415-645-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT STE 260",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283190",
            "telephone_number": "916-961-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4433 Vestal Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Vestal",
            "state": "NY",
            "postal_code": "138503556",
            "country_code": "US",
            "telephone_number": "607-772-8772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33-57 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "NY",
            "postal_code": "137902107",
            "country_code": "US",
            "telephone_number": "607-763-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTTINI",
        "first_name": "BRANDON",
        "middle_name": "ARTHUR",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E1-0010266",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E6136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.