Active NPI
Rick Bottoms
- Licensed Psychiatric Technician
- Norwalk, CA
National Provider Identifier
1376767020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- Practice address
- 12240 Firestone Blvd
Suite 3020
Norwalk, CA 90650 - Phone
- (562) 864-7821
- Fax
- (562) 864-7864
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | Primary |
Addresses
Primary practice location
12240 Firestone Blvd
Suite 3020
Norwalk, CA 90650
Mailing address
5053 Melbourne Dr
Cypress, CA 90630-3625
Phone (562) 864-7821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376767020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5053 MELBOURNE DR",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303625",
"telephone_number": "562-864-7821",
"fax_number": "562-864-7864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12240 FIRESTONE BLVD",
"address_2": "SUITE 3020",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-864-7821",
"fax_number": "562-864-7864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTOMS",
"first_name": "RICK",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.