David R. Gotham, Jr., D.O., Incorporated

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

20A8894 Issued in CA

Legal business name

DAVID R. GOTHAM, JR., D.O., INCORPORATED

Practice address

2204 Plaza Dr
Suite 210
Rocklin, CA 95765-4413

Phone

(916) 771-9555

Fax

(916) 771-9556

NPI assigned

Aug 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David R Gotham Jr., D.O.NPI 1023009297

Title

President

Phone

(916) 616-0510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David R Gotham Jr., DO

  • Orthopaedic Surgery Physician
  • Rocklin, CA
  • NPI 1023009297
  Medicare reassignment NPD Authorized official
• Rebecca Maureen Gotham, R.N.

  • Registered Nurse
  • Rocklin, CA
  • NPI 1336308980
  NPD (past)

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1114110640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7855 WINGATE CT",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957469362",
            "telephone_number": "916-791-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PLAZA DR",
            "address_2": "SUITE 210",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654413",
            "telephone_number": "916-771-9555",
            "fax_number": "916-771-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. GOTHAM, JR., D.O., INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "GOTHAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-616-0510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "20A8894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather D Danielson
• Joseph William Danna, DDS
• Darryl Todd Azouz, DDS, Inc
• Joshua Datuin
• Lisette Molina Daum, PT
• David Sachs LPCC
• Christina Dawson, PHARM.D.
• Isabella Day
• Lingdon Luciano Dayrit
• Marcos Julian De la Cruz Jr.

• Orthopaedic Surgery Physician in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.