Patrick Okechukwu Eronini, AGACNP-BC
Individual provider Active NPI Nurse Practitioner · Fair Oaks, CA
NPI 1568078079 · NPPES record last updated May 9, 2025
Key facts
- NPI
- 1568078079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95030253 (CA)
- Practice address
- 6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171 - Phone
- (916) 277-8881
- NPI assigned
- Sep 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Centers of America
Practice addresses (Care Compare)
5320 Hwy 49 N
Suite 1 3
Mariposa, CA 95338-9588
Phone (209) 966-2344
6608 Mercy CT
Suite B
Fair Oaks, CA 95628-3171
Phone (916) 241-9844
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, 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 |
|---|---|---|---|---|
| I20210202000234 | TX | Practitioner - Nurse Practitioner | 6204963788 | Reassigns benefits to 1 organization |
| I20241206003319 | CA | Practitioner - Nurse Practitioner | 6204963788 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humberto Nunez MD PA | Single Specialty | Current |
Accepting new patients |
| Community Health Centers of America | Current |
Accepting new patients | |
| MD Hospitalists PLLC | Single Specialty | Current |
Accepting new patients |
| Carbon Health Medical Group of California PC | Single Specialty | Current |
Accepting new patients |
| Community Health Centers of America | Single Specialty | Current |
Accepting new patients |
Locations
2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447
2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212
303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615
6608 Mercy Ct
Ste Ab
Fair Oaks, CA 95628
6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881
5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344
401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206
2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212
110 E Savannah Ave
Bldg B
McAllen, TX 78503
Phone (956) 686-7611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1013975 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1013975 | TX | |
| Nurse Practitioner |
363L00000X | 95030253 | CA | Yes |
| Nurse Practitioner | 363L00000X | 1013975 | TX |
Addresses
Primary practice location
6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171
Mailing address
PO Box 3091
Modesto, CA 95353-3091
Phone (209) 575-4575
Other providers in Fair Oaks, CA
- Elliott Eisenbud, MD Inc.
- Nancy Ellis-Cawley
- Debra Ellis
- Elsie H Huang MD Inc
- Daniela Enriquez Morales
- Fernando Escandon
- Eskaton Properties, Incorporated
- Eskaton Properties, Incorporated
- Christin Estes
- Danny Wood Evans
All providers in Fair Oaks, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2025. 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.