Kevin Joseph Bottorff, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT29632 Issued in CA

Practice address

480 E 13TH St
Merced, CA 95340-6214

Phone

(209) 381-6800

NPI assigned

Jan 11, 2007

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

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871643973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 WINDSOX CT",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936372685",
            "telephone_number": "559-662-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E 13TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953406214",
            "telephone_number": "209-381-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTORFF",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT29632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Booth, RN
• Ruhel Boparai, M.D.
• Mario Borge
• Toni Borges VII
• Marina Botelho
• Leila Boubshait, M.D.
• Kathryn A Bourke, PSYD
• Austin Outlaw Bowden, DO
• Jeremy Bowen, ATC
• Gillian Leigh Bowler, SLPA

• Licensed Psychiatric Technician in Merced, CA
• Providers in Merced, CA by specialty
• Licensed Psychiatric Technician in California

• 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.

Verify at the official NPI Registry.