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

Robert G Bota, MD

Individual provider Psychiatry Physician · NPI 1407990773

Robert G Bota, MD is a Psychiatry in Costa Mesa, California. Qualified in 1997, 29 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
29
Licensed in
AZ, CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3151 Airway Ave Bldg R
Costa Mesa, CA 92626-4607
Phone: (949) 288-5377
Fax: (774) 209-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14441 W McDowell Rd Ste B102, Goodyear, AZ 85395-2519 — (480) 516-8037

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A103585 (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence 73114 (AZ)

Record details

NPI number1407990773
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 19, 2007
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing address3151 Airway Ave Bldg R, Costa Mesa, CA 92626-4607

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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