DONDON RESTRIVERA EDEZA
NPI 1073036380
Nurse Practitioner - Family in Atwater, CA
About Dondon Restrivera Edeza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONDON RESTRIVERA EDEZA (NPI 1073036380) is an individual family provider in Atwater, California, licensed in California (95006889) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dondon Restrivera Edeza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Dondon Edeza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atwater, CA 95301
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ATWATER, CA 95301
ATWATER, CA 95301
ATWATER, CA 95301
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dondon Edeza's NPI number?
The NPI number for Dondon Edeza is 1073036380. It was assigned to this individual provider in the NPPES registry on July 18, 2017.
Where is Dondon Edeza located?
Dondon Edeza practices at 3605 Hospital Rd, Atwater, CA 95301. The listed phone number is (209) 726-1235.
What is Dondon Edeza's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Dondon Edeza enrolled in Medicare?
Yes. Dondon Edeza is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Dondon Edeza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dondon Edeza reassigns Medicare benefits to Castle Family Health Centers Inc (Atwater, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dondon Edeza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dondon Edeza was last updated on July 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.
# Dondon Restrivera Edeza · NPI 1073036380
Family physician in Atwater, California. Individual provider, active in the CMS NPPES registry since July 18, 2017.
## Identity
- **NPI:** 1073036380 (Entity type: Individual)
- **Enumerated:** July 18, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95006889 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3605 HOSPITAL RD, Atwater, CA 95301-5173
- **Phone:** (209) 726-1235
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Castle Family Health Centers Inc (NPI 1629246624, Atwater, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1073036380) · Data from the CMS NPPES public registry.