Edgar Albino Botello, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95014495 Issued in CA

Practice address

6730 N West Ave
Fresno, CA 93711-4301

Phone

(559) 439-3000

Fax

(559) 439-3004

NPI assigned

May 1, 2020

Last updated

Aug 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

J. Scott Boswell, MD a Medical CorporationGroup PAC ID 4880849371, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as apm

Quality

81.54

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94.58 of 100Reported as group

Quality

99.33

Improvement activities

40

Cost

82.82

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment Care Compare group NPD
• J. Scott Boswell, MD a Medical Corporation

  dba Boswell Dermatology

  • Dermatology Physician
  • Fresno, CA
  • NPI 1275871972
  Medicare reassignment Care Compare group NPD
• Innovative Dermatology Alliance Ca

  dba Peak Dermatology

  • Dermatology Physician
  • Visalia, CA
  • NPI 1083188221
  Medicare reassignment NPD
• Adventist Health Physicians Network

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1134092190
  NPD
• Adventist Health Physicians Network

  • Sleep Disorder Diagnostic Clinic/Center
  • Visalia, CA
  • NPI 1649978180
  NPD
• Kaweah Delta Health Care Inc

  dba Kaweah Health Medical Group

  • General Practice Physician
  • Visalia, CA
  • NPI 1619353042
  NPD
• Visalia Medical Clinic, Inc.

  • Family Medicine Physician
  • Visalia, CA
  • NPI 1780631432
  NPD

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1376164210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937114301",
            "telephone_number": "559-439-3000",
            "fax_number": "559-439-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 N WEST AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937114301",
            "telephone_number": "559-439-3000",
            "fax_number": "559-439-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTELLO",
        "first_name": "EDGAR",
        "middle_name": "ALBINO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-01",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95014495",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95014495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edgar@boswell.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "EMA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6730 N West Ave",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937114301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sheilah Diane Boswell, RN
• Taylor Nicole Boswell
• Marcio Botelho
• Diana Botello-Schroyer, LICENSE VOCATIONAL N
• Clarissa Jasmine Botello
• Enrique Botello, M.S. MFT
• Gabriela Botello
• Margarita Maria Botello
• Stacey Bottoms
• Chhoeuth Bou

• Family Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.