Individual provider Active NPI

Dannie L Cotton

  • Assisted Living Facility
  • Vallejo, CA
National Provider Identifier
1124816251
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
4567736-000 Issued in CA
Practice address
128 El Monte Ave
Vallejo, CA 94591-7947
Phone
(707) 655-5472
NPI assigned
Apr 29, 2025
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 4567736-000 CA Primary

Addresses

Primary practice location

128 El Monte Ave
Vallejo, CA 94591-7947

Mailing address

829 Sutter St
Vallejo, CA 94590-6139
Phone (707) 655-5472

Other practice location 1

527 Thomas Cir
Suisun City, CA 94585-1857
Phone (707) 655-5472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4567736-000CAMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Wothadabora CurrentSince Jun 15, 2025 Accepting new patients

Organizations & group practices 1

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": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1124816251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 SUTTER ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906139",
            "telephone_number": "707-655-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 EL MONTE AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917947",
            "telephone_number": "707-655-5472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Thomas Cir",
            "address_purpose": "LOCATION",
            "city": "Suisun City",
            "state": "CA",
            "postal_code": "945851857",
            "country_code": "US",
            "telephone_number": "707-655-5472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTON",
        "first_name": "DANNIE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "4567736-000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.