Okwudiri Echegi
Individual provider Active NPI Medical Physician Assistant · Patterson, CA
NPI 1053908194 · NPPES record last updated Apr 27, 2021
Key facts
- NPI
- 1053908194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA59468 (CA)
- Practice address
- 1444 Carly Creek Dr
Patterson, CA 95363-8764 - Phone
- (209) 605-6817
- NPI assigned
- Dec 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1444 Carly Creek Dr
Patterson, CA 95363-8764
5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230106001871 | CA | Practitioner - Physician Assistant | 1355711375 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA59468 | CA | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA59468 | CA | Yes |
Addresses
Primary practice location
1444 Carly Creek Dr
Patterson, CA 95363-8764
Mailing address
1444 Carly Creek Dr
Patterson, CA 95363-8764
Phone (209) 605-6817
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Patterson |
Other providers in Patterson, CA
- Dela Cruz-Vergara,Inc
- Makenna Delgadillo
- Sukhtaz Dhaliwal
- Tania Dias
- Doctors Medical Center of Modesto
- Elan Senior Living Dba the Living Center
- Emanuel Medical Center, Inc.
- Emmanuel M. Valino DDS Inc and Gary E Sanchez DMD a Partnership
- Heather Enos
- Lorena Esparza
All providers in Patterson, CA · Medical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.