Robert K. Otani, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G55038 Issued in CA

Legal business name

ROBERT K. OTANI, M.D.

Practice address

552 Vallombrosa Ave
Chico, CA 95926-4038

Phone

(530) 343-8438

Fax

(530) 343-2609

NPI assigned

Jul 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert Kelley Otani, M.D.

Title

PMR

Phone

(530) 519-0016

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1144459918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8127",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959278127",
            "telephone_number": "530-353-8438",
            "fax_number": "530-343-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 VALLOMBROSA AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959264038",
            "telephone_number": "530-343-8438",
            "fax_number": "530-343-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT K. OTANI, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "OTANI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "PMR",
        "authorized_official_telephone_number": "530-519-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G55038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1942313226",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony John Roach
• Lanette Elizabeth Roach
• Miriah Ashlie Roach, FNP-C
• David Vincent Robbins II, PA-C
• Michael A. Robbins, M.D.
• Robert N. Ryan, DDS
• Robert S Johnson MD Inc
• Paige Erica Roberts
• Thomas B Roberts
• Alexander Dennis Robertson, BSW BACHELOR OF SOCI

• Specialist in Chico, CA
• Providers in Chico, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.