Individual provider Active NPI

Brendan Bottari, M.D.

  • Diagnostic Radiology Physician
  • Santa Rosa, CA
National Provider Identifier
1174611107
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A81922 Issued in CA
Practice address
121 Sotoyome St
Santa Rosa, CA 95405-4823
Phone
(707) 546-4062
Fax
(707) 578-6258
NPI assigned
Oct 11, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A81922 CA Primary
Vascular & Interventional Radiology Physician 2085R0204X A81922 CA

Addresses

Primary practice location

121 Sotoyome St
Santa Rosa, CA 95405-4823

Mailing address

121 Sotoyome St
Santa Rosa, CA 95405-4823
Phone (707) 546-4062

Other identifiers 1

IdentifierTypeStateIssuer
00A891220MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000636 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2668542358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Hahnemann University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

559 Abbott St
Salinas, CA 93901-4325
Phone (831) 775-5200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A81922CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salinas Valley Radiologists, Inc. Diagnostic Radiology CurrentSince Jun 1, 2018 Accepting new patients
Permanente Medical Group Inc Diagnostic Radiology Current Accepting new patients
Svmhs Clinics CurrentSince Jul 1, 2021 Accepting new patients
Permanente Medical Group Inc Diagnostic Radiology CurrentSince Apr 4, 2010 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 4, 2010 Accepting new patients
Svmhs Clinics CurrentSince Jul 1, 2021 Accepting new patients
Salinas Valley Radiologists, Inc. Diagnostic Radiology CurrentSince Jun 1, 2018 Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients
Redwood Regional Medical Group Inc Diagnostic Radiology Past Accepting new patients
Redwood Regional Medical Group, Inc. Past Accepting new patients

Locations

1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

559 Abbott St
Salinas, CA 93901
Phone (831) 775-5200

626 Brunken Ave
Salinas, CA 93901
Phone (831) 755-0600

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Interoperability endpoints

  • Direct secure messaging: bbottari15223@direct.svmh.com

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1174611107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SOTOYOME ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054823",
            "telephone_number": "707-546-4062",
            "fax_number": "707-578-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SOTOYOME ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054823",
            "telephone_number": "707-546-4062",
            "fax_number": "707-578-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTARI",
        "first_name": "BRENDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A81922",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A81922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A891220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.