JORDAN AUGUSTINE PATRICIO ACNPC-AG
NPI 1215736954
Nurse Practitioner in Los Angeles, CA
About Jordan Augustine Patricio Acnpc-ag NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN AUGUSTINE PATRICIO ACNPC-AG (NPI 1215736954) is an individual nurse practitioner in Los Angeles, California, licensed in California (95018761) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan Augustine Patricio Acnpc-ag is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Jordan Patricio's NPI number?
The NPI number for Jordan Patricio is 1215736954. It was assigned to this individual provider in the NPPES registry on March 13, 2025.
Where is Jordan Patricio located?
Jordan Patricio practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (424) 465-4601.
What is Jordan Patricio's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jordan Patricio enrolled in Medicare?
Yes. Jordan Patricio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jordan Patricio was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Jordan Augustine Patricio, ACNPC-AG · NPI 1215736954
Nurse Practitioner physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 13, 2025.
## Identity
- **NPI:** 1215736954 (Entity type: Individual)
- **Enumerated:** March 13, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95018761 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ, Los Angeles, CA 90095-8358
- **Phone:** (424) 465-4601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215736954) · Data from the CMS NPPES public registry.