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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dondon Restrivera Edeza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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
## 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.