CARMEN BOTERO MD NPI 1063631802

NPI Information

NPI: 1063631802
Provider Name: CARMEN BOTERO, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
18321 CLARK ST
TARZANA, CA
ZIP 91356
Phone: (208) 676-9080
Get Directions

CARMEN BOTERO, MD is a pediatric cardiology pediatrics in Tarzana, CA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. CARMEN BOTERO, MD NPI is 1063631802. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18321 CLARK ST
TARZANA, CA
ZIP 91356-501
Phone: (208) 676-9080

The provider's authorized official is Karen Hale .
The authorized official title is Business Office Manager and has the following contact phone number (208) 762-6836.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	A47742	CALIFORNIA	Yes
2	2080P0203X	Pediatrics	Pediatric Critical Care Medicine	A47742	CALIFORNIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ01458Z	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA
2	00A477420	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »