Botrous Kamel Tawadros, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A50729 Issued in CA

Practice address

2115 Centerpointe Pkwy
Santa Maria, CA 93455-1334

Phone

(805) 346-7230

Fax

(805) 346-7272

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Santa Barbara County Public Health Dept

  • Internal Medicine Physician
  • Santa Maria, CA
  • NPI 1699711622
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1407877632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N SAN ANTONIO RD",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101316",
            "telephone_number": "805-681-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CENTERPOINTE PKWY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551334",
            "telephone_number": "805-346-7230",
            "fax_number": "805-346-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWADROS",
        "first_name": "BOTROUS",
        "middle_name": "KAMEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "A50729",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A507290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yat Yeung Tang, D.D.S.
• Himat Tank, M.D.
• Rikin Himat Tank, M.D.
• Jette Tankersley
• Martin Tatro
• Sara Tawata-Min, D.D.S.
• Mercedes Tawiah
• Gloria E Taylor, MA ED LEADERSHIP
• Jessica L Taylor
• Melody Anne Taylor

• Internal Medicine Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.