Robert Drew Otten, LAADC, M-RAS, CSC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

O0509301519 Issued in CA

Practice address

2180 Johnson Ave
San Luis Obispo, CA 93401-4513

Phone

(805) 781-4861

Fax

(805) 781-1227

NPI assigned

Feb 27, 2007

Last updated

Dec 14, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1447387345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1241",
            "city": "MORRO BAY",
            "state": "CA",
            "postal_code": "934431241",
            "telephone_number": "805-428-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014513",
            "telephone_number": "805-781-4861",
            "fax_number": "805-781-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEN",
        "first_name": "ROBERT",
        "middle_name": "DREW",
        "name_prefix": "Mr.",
        "credential": "LAADC, M-RAS, CSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "O0509301519",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LCI0101214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvia Maria Ortiz, PH.D
• Thomas Christian Ortiz, PHARMD, RPH
• Sarah Osellame, PHARMD
• Leslie Osuna, LVN
• Samer S. Othman, MD
• Claire Michelle Otterness
• Laura Ann Ottrando, R.N.
• Garrett T Owen, M.D.
• Jennifer Owen, ATC, PA-C
• Kyle Owens

• Addiction (Substance Use Disorder) Counselor in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

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

Verify at the official NPI Registry.