Tarek Ezzeddine MD Inc
NPI 1548701287ActiveOrganization· General Practice· Rancho Cucamonga, CA
General Practice in Rancho Cucamonga, California, registered in NPPES in March 2017. The authorized official on file is Tarek Ezzeddine, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1548701287 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2017 |
| Last updated in NPPES | Jan 6, 2020 |
| Certified by provider | Jan 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | C133690 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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