Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Augustine Patricio, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1215736954

Jordan Augustine Patricio, ACNPC-AG is a Nurse Practitioner in Los Angeles, California. Qualified in 2021, 5 years ago. Practices with The Regents of the University of California, a 43-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

757 Westwood Plz
Los Angeles, CA 90095-8358
Phone: (424) 465-4601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95018761 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95018761 (CA)

Record details

NPI number1215736954
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedMarch 13, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice The Regents Of The University Of California — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Los Angeles