DR. JONATHAN D BOTTS M.D. NPI 1457506347

NPI Information

  • NPI: 1457506347
  • Provider Name: DR. JONATHAN D BOTTS, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4955 VAN NUYS BLVD
    SUITE 615
    SHERMAN OAKS, CA
    ZIP 91403
  • Phone: (818) 905-2222

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NPI Details

DR. Jonathan D Botts, M.D. is a specialist in Sherman Oaks, CA with 21 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Jonathan D Botts, M.D. NPI is 1457506347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

4955 VAN NUYS BLVD
SUITE 615
SHERMAN OAKS, CA
ZIP 91403-801
Phone: (818) 905-2222
Fax: (818) 905-8702

The NPI 1457506347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg (HCPCS:J7322)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Hip replacement (HCPCS:NAN09)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 11/19/2008 and was last updated on 8/2/2012.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2174400000XSpecialistA 117042CALIFORNIAYes

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
1W11945MEDICARE PINCALIFORNIA
20368280001MEDICARE NSCCALIFORNIA
3W11945AMEDICARE PINCALIFORNIA
4DA0572OTHERCALIFORNIARAILROAD
50368280002MEDICARE NSCCALIFORNIA

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: 11/21/2025

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