Organization Active NPI

Ronald J. Botelho, MD, LTD

  • Pain Medicine (Anesthesiology) Physician
  • Santa Rosa, CA
National Provider Identifier
1336471085
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G53308 Issued in CA
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

Updated by the provider on Jul 15, 2015

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.