Rebecca Maureen Gotham, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

63701 Issued in CA

Practice address

2204 Plaza Dr
Suite 210
Rocklin, CA 95765-4413

Phone

(916) 771-9555

Fax

(916) 771-9556

NPI assigned

Jun 7, 2008

Sex

Female

Sole proprietor

Yes

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

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.

• David R. Gotham, Jr., D.O., Incorporated

  • Orthopaedic Surgery Physician
  • Rocklin, CA
  • NPI 1114110640
  NPD (past)

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1336308980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 PLAZA DR",
            "address_2": "SUITE 210",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654413",
            "telephone_number": "916-771-9555",
            "fax_number": "916-771-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PLAZA DR",
            "address_2": "SUITE 210",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654413",
            "telephone_number": "916-771-9555",
            "fax_number": "916-771-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTHAM",
        "first_name": "REBECCA",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-07",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "63701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Gonzalez
• Marina Rene Gonzalez
• Dianna J Goodliffe
• Jonathan Gordon, CMT
• David R Gotham Jr., DO
• Michelle Graf
• Peggy Graham, OTR/L
• Matthew Gramberg
• Ashley Granados
• Jillsbury Samson Granados

• Registered Nurse in Rocklin, CA
• Providers in Rocklin, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.