CARMEN BOTERO, MD – NPI #1063631802
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

CARMEN BOTERO, MD is a provider located in TARZANA, CA. NPPES has assigned the NPI number 1063631802 to CARMEN BOTERO, MD on April 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARMEN BOTERO, MD below.

NPI Profile for
CARMEN BOTERO, MD

NPI Number
1063631802
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARMEN BOTERO, MD
Primary location
18321 CLARK ST
TARZANA, CA 91356-3501
Phone: (208) 676-9080 Fax:
Mailing address
PO BOX 570587
TARZANA, CA 91357-0587
Phone: Fax:
Organization Subpart
No
Authorized Official
KAREN HALE
BUSINESS OFFICE MANAGER
Phone: (208) 762-6836
Updated
Identifiers

Identifiers for CARMEN BOTERO, MD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE SHIELD OF CALIFORNIACAZZZ01458Z
medicaidCA00A477420
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)		 CA A47742
2080P0202X
- Pediatrics / Pediatric Cardiology		 CA A47742

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.