Active NPI
Ronald J. Botelho, MD, LTD
- Pain Medicine (Anesthesiology) Physician
- Santa Rosa, CA
National Provider Identifier
1336471085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- G53308
- Legal business name
- RONALD J. BOTELHO, MD, LTD
- Practice address
- 1221 Farmers LN
Suite 500
Santa Rosa, CA 95405-6712 - Phone
- (707) 569-3230
- Fax
- (707) 523-0119
- NPI assigned
- Feb 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald J Botelho, M.D.
- Title
- President
- Phone
- (707) 569-3230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G53308 | CA | Primary |
Addresses
Primary practice location
1221 Farmers LN
Suite 500
Santa Rosa, CA 95405-6712
Mailing address
PO Box 14578
Santa Rosa, CA 95402-6578
Phone (707) 569-3230
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Towson, MD
- NPI 1598105207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436918400000",
"number": "1336471085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14578",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954026578",
"telephone_number": "707-569-3230",
"fax_number": "707-523-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 FARMERS LN",
"address_2": "SUITE 500",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056712",
"telephone_number": "707-569-3230",
"fax_number": "707-523-0119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD J. BOTELHO, MD, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-05",
"last_updated": "2015-07-15",
"status": "A",
"authorized_official_last_name": "BOTELHO",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-569-3230",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G53308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.