Bioactive Therapeutics

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BIOACTIVE THERAPEUTICS

Practice address

3499 Brookside Rd
Suite F
Stockton, CA 95219-1784

Phone

(916) 288-0578

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Donald Matthew Cottman, PHARM.D.

Title

President/Ceo

Phone

(916) 288-0578

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1275506784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 BROOKSIDE RD",
            "address_2": "SUITE F",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952191784",
            "telephone_number": "916-288-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 BROOKSIDE RD",
            "address_2": "SUITE F",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952191784",
            "telephone_number": "916-288-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOACTIVE THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "COTTMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "916-288-0578",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Lynn Bills, SUDRC #14244
• Jordan Lorean Binder-Smith
• Tiya Binder
• Ashley Marie Bingham
• Elyse Bingham
• Melanie Roselle Vinas Bioc
• Allie Bippus, THW
• Alena Bird, LPT
• Nicholas Raymond Birlew, D.O.
• Simran Birring

• Case Management Agency in Stockton, CA
• Providers in Stockton, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.