CARMEN BOTERO, MD
NPI 1063631802
Pediatrics - Pediatric Critical Care Medicine in Tarzana, CA

Q: What is Carmen Botero, MD's NPI number?

The NPI number for Carmen Botero, MD is 1063631802. It was assigned to this organization in the NPPES registry on April 24, 2007.

Q: What is Carmen Botero, MD's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Carmen Botero, MD was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 24, 2007

18321 CLARK ST, TARZANA, CA 91356(208) 676-9080 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Carmen Botero, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN BOTERO, MD (NPI 1063631802) is a healthcare organization registered as a pediatric critical care medicine in Tarzana, California and active in the NPI registry since April 2007. The organization lists Karen Hale, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063631802

Entity TypeOrganization

Primary Taxonomy2080P0203X

Legal Business NameCARMEN BOTERO, MD

Location Address18321 CLARK STTarzana, CA 91356-3501

Mailing AddressPo Box 570587Tarzana, CA 91357-0587

Phone(208) 676-9080

Organization SubpartNo

Authorized OfficialKaren HaleBusiness Office Manager · (208) 762-6836

Enumeration DateApril 24, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1063631802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · A47742

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License A47742 (CA)

18321 CLARK ST, Tarzana, CA 91356

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Other Identifiers 2

Medicaid00A477420CA

OtherZZZ01458ZCA · Blue Shield Of California

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JONATHAN ANDREW PRINCE M.D.

Emergency Medicine