MRS. OTERIA RANDALL KOAYEN
NPI 1508060237
Nurse Practitioner - Critical Care Medicine in Pittsburg, CA

Active since June 14, 2007
1166 BROOKTRAIL DR, 1900 FRUITVALE AVE SUITE 3E, PITTSBURG, CA 94565(925) 261-9953 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Oteria Randall Koayen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. OTERIA RANDALL KOAYEN (NPI 1508060237) is an individual critical care medicine provider in Pittsburg, California, licensed in California (15439) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1508060237
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameMRS. OTERIA RANDALL KOAYEN
Location Address1166 BROOKTRAIL DR, 1900 FRUITVALE AVE SUITE 3EPittsburg, CA 94565-7627
Mailing Address1166 Brooktrail DrPittsburg, CA 94565-7627 · (925) 261-9953
Sole ProprietorNo
Enumeration DateJune 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1508060237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in CA · 15439
1166 BROOKTRAIL DR, Pittsburg, CA 94565

Other Names 1

Professional Name (2)Oteria Randall Koayen Fnp

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1166 BROOKTRAIL DR
PITTSBURG, CA 94565

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 Oteria Randall Koayen's NPI number?

The NPI number for Oteria Randall Koayen is 1508060237. It was assigned to this individual provider in the NPPES registry on June 14, 2007. The provider is also known as Oteria Randall Koayen Fnp.

Where is Oteria Randall Koayen located?

Oteria Randall Koayen practices at 1166 Brooktrail Dr 1900 Fruitvale Ave Suite 3E, Pittsburg, CA 94565. The listed phone number is (925) 261-9953.

What is Oteria Randall Koayen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

When was this NPI record last updated?

The NPPES record for Oteria Randall Koayen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.