Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Bottle

Individual provider Physician Assistant · NPI 1356026132

Andrew Bottle is a Physician Assistant in Lodi, California. Qualified in 2023, 3 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023

Practice location Address checks out

975 S Fairmont Ave
Lodi, CA 95240-5179
Phone: (209) 334-3411
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA62886 (CA)

Record details

NPI number1356026132
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2023
Last updated in NPPESJune 19, 2023
Certification dateJune 9, 2023
Mailing address975 S Fairmont Ave, Lodi, CA 95240-5179

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lodi