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EDRICK MATHIEU OTEYZA NP
NPI 1619640141
Nurse Practitioner in Fairfield, CA

Active since July 29, 2021PECOS Enrolled
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533(707) 646-3333 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edrick Mathieu Oteyza Np NPPES

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

EDRICK MATHIEU OTEYZA NP (NPI 1619640141) is an individual nurse practitioner in Fairfield, California, licensed in California (95017112) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619640141
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameEDRICK MATHIEU OTEYZACredential: NP
Location Address1200 B GALE WILSON BLVDFairfield, CA 94533-3587
Mailing Address1484 Legacy LnFairfield, CA 94533-7151 · (707) 334-7953
Phone(707) 646-3333
Sole ProprietorNo
Enumeration DateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
✔ NPI 1619640141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95017112
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 95078590 (CA)
1200 B GALE WILSON BLVD, Fairfield, CA 94533
Open in Google Maps ↗

Other Identifiers 2

Other95078590CA · Registered Nurse License
Other95017112CA · Nurse Practitioner Furnishing

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edrick Mathieu Oteyza Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94533 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JOSEPH J DOMINGUEZ M.D.
Anesthesiology
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (916) 481-6800
DR. JEFFREY J SAADI M.D.
Anesthesiology
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (916) 481-6800
SETH ABRAHAM KAUFMAN M.D.
Emergency Medicine
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (707) 429-7830
JULIE ANN HERSK M.D.
Emergency Medicine
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (707) 429-3600
ANGELINE SABRINA ZARGHAMI RN
Registered Nurse
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (707) 646-4166
JUDY GEIB GONZALES RN
Registered Nurse
1200 B GALE WILSON BLVD, LINDA PRYOR, CORPORATE COMPLIANCE
FAIRFIELD, CA 94533
Solano County (707) 864-5383
LAURENCE CECILIO NP
Nurse Practitioner (Acute Care)
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (707) 646-5000
NORTHBAY HEALTH FOUNDATION
Dietitian, Registered
1200 B GALE WILSON BLVD
FAIRFIELD, CA 94533
Solano County (707) 646-5000

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 Edrick Oteyza's NPI number?

The NPI number for Edrick Oteyza is 1619640141. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Where is Edrick Oteyza located?

Edrick Oteyza practices at 1200 B Gale Wilson Blvd, Fairfield, CA 94533. The listed phone number is (707) 646-3333.

What is Edrick Oteyza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Edrick Oteyza enrolled in Medicare?

Yes. Edrick Oteyza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edrick Oteyza was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.