SearchCalifornia207LP2900X

Ronald Botelho, M.D

NPI 1235199373 · on the registry since 2006

Practice

Address
925 Bevins Ct
Lakeport, CA 95453
Phone
(707) 263-8382
Fax
(707) 263-1909
Organisation at this address
Lake County Tribal Health Consortium Inc.
Lake County Tribal Health Consortium, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Additional practice sites

  • 1221 Farmers Ln, Santa Rosa, CA
  • 14440 Olympic Dr, Clearlake, CA

Registry record

Primary taxonomy
207LP2900X
207LP2900X
Also registered as
207L00000X
Licence states on file
NV, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California