Active NPI
Leah Botimer
- Pediatrics Physician
- Redlands, CA
National Provider Identifier
1356710495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- NP95002812
- Legal business name
- LEAH BOTIMER
- Practice address
- 101 E Redlands Blvd
Redlands, CA 92373-4775 - Phone
- (909) 792-8866
- Fax
- (909) 792-9395
- NPI assigned
- Sep 18, 2015
- Last updated
- Sep 18, 2015
- 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
- Allison Ealy Blackwell
- Title
- Assitant
- Phone
- (909) 792-8866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NP95002812 | CA | Primary |
Addresses
Primary practice location
101 E Redlands Blvd
Redlands, CA 92373-4775
Mailing address
101 E Redlands Blvd
Redlands, CA 92373-4775
Phone (909) 792-8866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP95002812 | Other | CA | NP LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Cameo Carter MD 2 a Professional Corporation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Garden Pediatric Urgent Care, Inc.
- Urgent Care Clinic/Center
- Redlands, CA
- NPI 1144754151
-
dba Garden Pediatrics, Inc.
- Pediatrics Physician
- Redlands, CA
- NPI 1447404611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442534400000",
"number": "1356710495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E REDLANDS BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734775",
"telephone_number": "909-792-8866",
"fax_number": "909-792-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E REDLANDS BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734775",
"telephone_number": "909-792-8866",
"fax_number": "909-792-9395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAH BOTIMER",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-18",
"last_updated": "2015-09-18",
"status": "A",
"authorized_official_last_name": "BLACKWELL",
"authorized_official_first_name": "ALLISON",
"authorized_official_middle_name": "EALY",
"authorized_official_title_or_position": "ASSITANT",
"authorized_official_telephone_number": "909-792-8866"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "NP95002812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "NP95002812",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.