Emanuel H Botelho, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

31969 Issued in CA

Practice address

27699 Jefferson Ave Ste 203
Temecula, CA 92590-2696

Phone

(951) 587-0100

Fax

(951) 587-0101

NPI assigned

Oct 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southcoast Chiropractic, Inc.

  • Chiropractor
  • New Bedford, MA
  • NPI 1659460806
  NPD (past) Authorized official
• Aco Health Solutions, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Dartmouth, MA
  • NPI 1306161443
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205925542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 S MORNINGSTAR DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081632",
            "telephone_number": "951-587-0100",
            "fax_number": "951-587-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27699 JEFFERSON AVE STE 203",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902696",
            "telephone_number": "951-587-0100",
            "fax_number": "951-587-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18017 Sky Park Cir Ste F",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146579",
            "country_code": "US",
            "telephone_number": "949-862-7499",
            "fax_number": "949-862-7496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTELHO",
        "first_name": "EMANUEL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "31969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1613812",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Borland
• Clinton Joseph Born, NP, RN, PHRN, EMT-P
• Angelina Borrero
• Ronn Bose, DPT
• Jamie L Boston
• Aikaterini Boukouvala, MD
• Kenan Dylan Bouzida, MD
• Reed Steven Bovee
• Nicholas Bowen
• Katherine Bowers, LPCC

• Chiropractor in Temecula, CA
• Providers in Temecula, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.