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

Dr. Jonathan D Botts, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457506347

Dr. Jonathan D Botts, MD is an Orthopedic Surgery in Sherman Oaks, California. Graduated from State University of New York at Stony Brook, School of Medicine in 2005, 21 years ago. Practices with Domenick J Sisto M D Inc, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4955 Van Nuys Blvd Ste 615
Sherman Oaks, CA 91403-1801
Phone: (818) 905-2222
Fax: (818) 905-8702
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence A 117042 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457506347
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 19, 2008
Last updated in NPPESAugust 2, 2012
Mailing address4955 Van Nuys Blvd, Suite 615, Sherman Oaks, CA 91403-1801

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Domenick J Sisto M D Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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