Robert G Bota, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A103585 Issued in CA

Practice address

3151 Airway Ave BLDG R
Costa Mesa, CA 92626-4607

Phone

(949) 288-5377

Fax

(774) 209-4466

NPI assigned

Feb 19, 2007

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

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silvan Medical Consulting Inc 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• College Medical Center Hospital, Long Beach, CA, CCN 050776

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 50)

Interoperability endpoints

• FHIR API: https://fhir.healthtogo.me/fhir/r4/universalehr.dmg
• Direct secure messaging: genhealth.dobertgbota@148814.advancedmd-direct.com

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.

• Silvan Medical Consulting, Inc

  • Psychiatry Physician
  • Long Beach, CA
  • NPI 1003599911

  CA, Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Brainhealth Solutions, Inc.

  • Psychiatry Physician
  • Costa Mesa, CA
  • NPI 1649815267

  CA, Single Specialty

  Medicare reassignment NPD Authorized official
• Dao Medical Group Inc

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1073957239

  CA, Single Specialty

  Medicare reassignment NPD
• Harbor Psychiatry & Mental Health, Professional Corporation

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1780050054

  CA, Single Specialty

  Medicare reassignment NPD
• Telemedicine Urgent Care Inc

  • Psychiatry Physician
  • Huntington Beach, CA
  • NPI 1386219558

  CA, Single Specialty

  Medicare reassignment NPD
• The Department of Psychiatry

  • Psychiatry Physician
  • Orange, CA
  • NPI 1831159003

  CA, Single Specialty

  Medicare reassignment NPD
• University Surgeons of Orange a Medical Group

  • Surgery Physician
  • Orange, CA
  • NPI 1407806904

  Single Specialty

  NPD (past)
• Genhealth

  • Psychiatry Physician
  • Goodyear, AZ
  • NPI 1144799792

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CHLB, LLC

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1215373626

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1407990773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE BLDG R",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264607",
            "telephone_number": "949-288-5377",
            "fax_number": "774-209-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE BLDG R",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264607",
            "telephone_number": "949-288-5377",
            "fax_number": "774-209-4466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14441 W McDowell Rd Ste B102",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952519",
            "country_code": "US",
            "telephone_number": "480-516-8037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOTA",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "73114",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A103585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Ikaika Bonte, DC, DPT
• Matthew C Boone, MD
• Tailier Boone
• Itzel Borja Rivera
• Boston Medical Group-California L.L.C.
• Alessandra Botello
• Nabil Botros
• Elliot Bouchan-Boche
• Troy David Boughner, PHARMD
• Michael Paul Bourgoin, O.D.

• All providers in Costa Mesa, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.