Organization Active NPI

Wothadabora

  • Case Management Agency
  • Vallejo, CA
National Provider Identifier
1487549911
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
WOTHADABORA
Practice address
128 El Monte Ave
Vallejo, CA 94591-7947
Phone
(707) 655-5472
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Dannie CottonNPI 1124816251
Title
Ceo
Phone
(707) 655-5472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

128 El Monte Ave
Vallejo, CA 94591-7947

Mailing address

829 Sutter St
Vallejo, CA 94590-6139
Phone (707) 655-5472

Other practice location 1

527 Thomas Cir
Suisun City, CA 94585-1857
Phone (707) 655-5472

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1487549911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 SUTTER ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906139",
            "telephone_number": "707-655-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 EL MONTE AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917947",
            "telephone_number": "707-655-5472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 Thomas Cir",
            "address_purpose": "LOCATION",
            "city": "Suisun City",
            "state": "CA",
            "postal_code": "945851857",
            "country_code": "US",
            "telephone_number": "707-655-5472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOTHADABORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "DANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-655-5472"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.