Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619640141 Individual Practitioner Male Practitioner

Edrick Mathieu Oteyza , NP

Nurse Practitioner • Fairfield, CA

Professional Overview & Biography Verified Profile Summary

Edrick Oteyza, NP is a registered healthcare professional specializing in Nurse Practitioner in Fairfield, CA. Practice services are available at 1200 B GALE WILSON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 B Gale Wilson Blvd

Fairfield, CA 945333587

Telephone 7076463333
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fairfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
15 Specialists

Practicing in Fairfield, CA (8378 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95017112

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License CA 95078590

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Nurse Practitioner Furnishing
95017112 (CA)
Commercial Insurance / Payer ID Registered Nurse License
95078590 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003801556

Doctor of Medicine (M.D.)

NPI 1003809823

Doctor of Medicine (M.D.)

Dr. Seth Kaufman , MD

Emergency Medicine

NPI 1023045515

Doctor of Medicine (M.D.)

Dr. Julie Hersk , MD

Emergency Medicine

NPI 1023114030

Doctor of Medicine (M.D.)

Angeline Zarghami , RN

Registered Nurse

NPI 1023209939

Registered Nurse

Judy Gonzales , RN

Registered Nurse

NPI 1023234283

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 29, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 29, 2021

Registered at 1200 B GALE WILSON BLVD, FAIRFIELD, CA 945333587 (Tel: 7076463333)

📍
Updated Business Mailing Address July 29, 2021

Registered at 1484 LEGACY LN, FAIRFIELD, CA 945337151 (Tel: 7073347953)

👤
Provider Name / Credentials Updated July 29, 2021

Recorded as EDRICK OTEYZA, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2021

Registered Nurse (License #95078590 in CA)

🟢
Initial NPI Registration & Enumeration July 29, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619640141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2021
Last Update: July 29, 2021
Sole Proprietor: No

Mailing Address

1484 Legacy Ln

Fairfield, CA 945337151

Phone: 7073347953

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.