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NPI · 1548701287 · NPPES-sourced

Tarek Ezzeddine MD INC

ActiveGeneral Practice
NPI Number
1548701287
Type 2 · Organisation
Taxonomy Code
208D00000X
Contact
(909) 360-4722
License CA · C133690
Last Updated
Enumerated
Primary practice addressCA · 91730-3817
10841 White Oak Ave Ste 103Rancho Cucamonga, CA 91730-3817
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About this NPIWhat this record shows.

NPI 1548701287 is registered to Tarek Ezzeddine MD INC, a healthcare organisation classified as "General Practice" and located at 10841 White Oak Ave Ste 103 in Rancho Cucamonga, California. The organisation's authorised official is Tarek Ezzeddine. The organisation has been enumerated in the NPI registry since 2017.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Tarek Ezzeddine MD INC accepts. To confirm in-network status with your specific health plan, contact Tarek Ezzeddine MD INC directly at (909) 360-4722.

Frequently asked

Yes. NPI 1548701287 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (909) 360-4722.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Tarek Ezzeddine MD INC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208D00000X
Last updated
Enumerated
StatusActive
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