Individual provider Active NPI

Robert Wayne Stotler

  • Marriage & Family Therapist
  • Vacaville, CA
National Provider Identifier
1992282362
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123932 Issued in CA
Practice address
248 Verona CT
Vacaville, CA 95687-6622
Phone
(510) 367-0429
NPI assigned
Jul 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 94944 CA
Marriage & Family Therapist 106H00000X 123932 CA Primary

Addresses

Primary practice location

248 Verona CT
Vacaville, CA 95687-6622

Mailing address

11121 Sun Center Dr Ste F
Rancho Cordova, CA 95670-6199
Phone (510) 367-7219

Other practice location 1

11121 Sun Center Dr Ste F
Rancho Cordova, CA 95670-6199
Phone (510) 367-7219

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

State licenses

LicenseStateTypeSpecialty
94944CAMDMental Health Counselor
123932CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1992282362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 SUN CENTER DR STE F",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706199",
            "telephone_number": "510-367-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 VERONA CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876622",
            "telephone_number": "510-367-0429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11121 Sun Center Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Rancho Cordova",
            "state": "CA",
            "postal_code": "956706199",
            "country_code": "US",
            "telephone_number": "510-367-7219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOTLER",
        "first_name": "ROBERT",
        "middle_name": "WAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94944",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.