Kathryn Terisa Rowbotham

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MSPP-HLIQMV Issued in CA

Practice address

2130 N Ventura Rd
Oxnard, CA 93036-2246

Phone

(805) 289-8000

NPI assigned

May 4, 2022

Reactivated

Jul 28, 2022

Sex

Female

Sole proprietor

No

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": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1982349817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 GOLF LINKS RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054124",
            "telephone_number": "510-317-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 N VENTURA RD",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362246",
            "telephone_number": "805-289-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWBOTHAM",
        "first_name": "KATHRYN",
        "middle_name": "TERISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "deactivation_date": "2022-05-05",
        "reactivation_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MSPP-HLIQMV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon David Rossiter, CATC II
• Sabrina Rotella
• Barbara Lynn Roth
• Richard B Rothschild, MD
• Donel Rourke, C HYPNO
• Rowi Valencia LLC (ROWI Oxnard)
• Vincent Rowley
• Meloney Anne Roy, LCSW
• Rsa Health Services Inc (Farmacia Estrella)
• Jessica Rubinstein

• Peer Specialist in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.