EDRICK MATHIEU OTEYZA NP
NPI 1619640141
Nurse Practitioner in Stanford, CA
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 Stanford, California, licensed in California (95017112) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fairfield.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edrick Mathieu Oteyza Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Edrick Oteyza reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Fairfield, CA 94534
- Reassigned Medicare billing, California enrollment
- 225 clinicians in this Medicare group
Fairfield, CA 94533
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Northbay Physicians Surgery Center, LLC
- 516 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 94305 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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
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.
Which organizations bill Medicare for Edrick Oteyza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edrick Oteyza reassigns Medicare benefits to 4 organizations: Stanford Health Care (Stanford, CA), Lpch Medical Group Div Of Lucile (Palo Alto, CA), Northbay Health Medical Foundation (Fairfield, CA) and Northbay Healthcare Group (Fairfield, CA). Each 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 Edrick Oteyza'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 Edrick Oteyza was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Edrick Mathieu Oteyza, NP · NPI 1619640141
Nurse Practitioner physician in Stanford, California. Individual provider, active in the CMS NPPES registry since July 29, 2021.
## Identity
- **NPI:** 1619640141 (Entity type: Individual)
- **Enumerated:** July 29, 2021
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95017112 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Stanford Health Care (NPI 1437292927, Stanford, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Northbay Health Medical Foundation (NPI 1760283527, Fairfield, CA); Northbay Healthcare Group (NPI 1821147786, Fairfield, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2026
- **Other identifiers:** Other 95017112 (CA); Other 95078590 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1619640141) · Data from the CMS NPPES public registry.