Lewis Anthony Gotico Jr., RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

776003 Issued in CA

Practice address

6687 Riptide Way
Sacramento, CA 95831-2016

Phone

(209) 244-6570

NPI assigned

Jan 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1134717465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6687 RIPTIDE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312016",
            "telephone_number": "209-244-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6687 RIPTIDE WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958312016",
            "telephone_number": "209-244-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTICO",
        "first_name": "LEWIS",
        "middle_name": "ANTHONY",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "776003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Goswami, LCSW
• Vinay P Goswamy, MD
• Michelle Lorraine Gotfried
• George Gothmann, CADC-CAS
• Kamie Michelle Gotico, FNP
• Kristin Fadel Gotimer, D.O.
• Alina Gotishan
• Jessica Gott
• Erin Leann Gottis
• Catherine Dolores Goudberg, CNS

• Emergency Registered Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Emergency Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.