Active NPI
Michael Bottomley
- Assistive Technology Practitioner Rehabilitation Counselor
- Long Beach, CA
National Provider Identifier
1881712792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Rehabilitation Counselor
- Practice address
- 102 Orange Ave Apt 5
Long Beach, CA 90802-5616 - Phone
- (323) 346-0960
- Fax
- (323) 346-0966
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Rehabilitation Counselor | 225CA2400X | Primary |
Addresses
Primary practice location
102 Orange Ave Apt 5
Long Beach, CA 90802-5616
Mailing address
6055 E Washington Blvd
Suite 900
Commerce, CA 90040-2418
Phone (323) 346-0960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881712792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6055 E WASHINGTON BLVD",
"address_2": "SUITE 900",
"city": "COMMERCE",
"state": "CA",
"postal_code": "900402418",
"telephone_number": "323-346-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 ORANGE AVE APT 5",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908025616",
"telephone_number": "323-346-0960",
"fax_number": "323-346-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTTOMLEY",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225CA2400X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- 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.