| Brendan Bottari, MD | |
|
121 Sotoyome St, Santa Rosa, CA 95405-4823 | |
| (707) 546-4062 | |
| (707) 578-6258 |
| Full Name | Brendan Bottari |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 29 Years |
| Location | 121 Sotoyome St, Santa Rosa, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174611107 | NPI | - | NPPES |
| 00A891220 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A81922 (California) | Primary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | A81922 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Salinas Valley Memorial Hospital | Salinas, CA | Hospital |
| Community Hospital Of The Monterey Peninsula | Monterey, CA | Hospital |
| Natividad Medical Center | Salinas, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Svmhs Clinics | 1456592351 | 217 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Salinas Valley Radiologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053375006 PECOS PAC ID: 3375536949 Enrollment ID: O20040407001513 |
| Entity Name | Svmhs Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093158347 PECOS PAC ID: 1456592351 Enrollment ID: O20130718000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Brendan Bottari, MD 121 Sotoyome St, Santa Rosa, CA 95405-4823 Ph: (707) 546-4062 | Brendan Bottari, MD 121 Sotoyome St, Santa Rosa, CA 95405-4823 Ph: (707) 546-4062 |
Gary Raymond Roper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3883 Airway Dr Ste 101, Santa Rosa, CA 95403 Phone: 707-521-4480 Fax: 707-521-4460 | |
Dr. Alvaris W Duffis, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3325 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-576-4475 | |
Katherine R. Vickery, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
David Howard Schmidt, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-578-6258 | |
Dr. Shawn Daly, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 Sotoyome St, Santa Rosa, CA 95405 Phone: 707-546-4062 Fax: 707-525-4095 | |
Clifford F Sweet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-569-4740 | |
Gregory P Penning, R.T.(R)(CT)ARRT Radiology Medicare: Not Enrolled in Medicare Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403 Phone: 707-576-4000 |