DR. NISHITHA KOTLA (NPI# 1942618905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942618905 |
| Entity Type | Individual |
| Full Name | DR. NISHITHA KOTLA |
| Credential | MD |
| Practice Address |
11795 Education St Ste 100 Auburn CA 95602-2469 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 5308862300 |
| Mailing Telephone | (800) 470-0071 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A148723 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4422 3rd Ave Bldg 3, Bronx, NY 104572545 | 7189609000 |
| Street Address |
11795 EDUCATION ST STE 100 |
| City | AUBURN |
| State | CA |
| Zip Code | 95602-2469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104219575 | Annie Cho | Registered Nurse | 11795 Education St Ste 100, Auburn, CA 95602-2469 | 2015-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144770793 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 12183 Locksley Ln Ste 107, Auburn, CA 95602 | 2016-10-06 |
| 1073904231 | Bunny Stanfield | Psychologist | 6435 Fairway Ct., Auburn, CA 95602 | 2015-02-10 |
| 1326319419 | Blake Reed Williams | Counselor | 10593 Rockview Ct, Auburn, CA 95602 | 2012-01-20 |
| 1548387970 | Richard Earl Thornton | Chiropractor | 10988 Combie Road, Suite 100, Auburn, CA 95602 | 2007-03-22 |
| 1346378957 | Stanford K Schulte | Marriage & Family Therapist | 3215 Fortune Court, Auburn, CA 95602 | 2007-03-02 |
| 1144372590 | Daniel E Mertz Dds Inc | Dentist | 3205 Professional Dr, Auburn, CA 95602 | 2007-01-17 |
| 1619035805 | Robert Lee Hook | General Practice | 11775 Education St Ste 211, Auburn, CA 95602 | 2006-12-04 |
| 1568536191 | Sierra Foothills Surgical Specialists Inc | Surgery | 3257 Professional Drive, Suite E, Auburn, CA 95602 | 2006-11-17 |
| 1093898710 | David Ray Norcott | Optometrist | 3211 Fortune Court, Auburn, CA 95602 | 2006-10-24 |
| 1467553834 | Heather Lynne Perry | Chiropractor | 3275 Fortune Ct, Auburn, CA 95602 | 2006-09-26 |
| Find all providers in zip 95602 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972012573 | Bonnie Burnham Potter | Internal Medicine | 8600 Hastings Ln, Auburn, CA 95602-7907 | 2017-09-26 |
| 1134656457 | Allyne Macam Delossantos | Internal Medicine | 201 N Division St, Auburn, WA 98001-4954 | 2017-05-17 |
| 1063702405 | David Kau | Internal Medicine | 77 Nelson Street, Suite 240, Amms Nephrology, Auburn, NY 13021-1302 | 2011-04-19 |
| 1992037253 | Geralyn Ann Flaig | Internal Medicine | 355 Racetrack St, Auburn, CA 95603-5423 | 2010-02-10 |
| 1548400278 | Wassim Assaf | Internal Medicine | 48 Auburn St Ste 1, Auburn, MA 01501-2438 | 2009-02-20 |
| 1740310291 | Charles P Sweet | Internal Medicine | 11 Midstate Drive, Umass Medical School, Auburn, MA 01501 | 2007-03-06 |
| 1891835294 | John A Abrams II | Internal Medicine | 1548 Professional Pkwy, Auburn, AL 36830-2857 | 2007-02-07 |
| 1245301324 | Auburn Internal Med Assoc Ps | Internal Medicine | 202 Division St N, # 400, Auburn, WA 98001-4939 | 2006-11-13 |
| 1073624201 | Mihaela M Hasse | Internal Medicine | 11670 Atwood Road, Auburn, CA 95603 | 2006-08-31 |
| 1225044167 | Joseph O Gehrett Jr. | Internal Medicine | 202 N Division St Ste 400, Auburn, WA 98001-4939 | 2006-07-31 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.