Jack Ezzedine
NPI 1053137513 · Medical Physician Assistant · Alhambra, CA
Jack Ezzedine is a Medical Physician Assistant provider in Alhambra, CA (NPI 1053137513).
Provider details
- NPI number
- 1053137513
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-12-02
- Last updated
- 2024-12-02
- Certified
- 2024-12-01
Frequently asked questions
- What is Jack Ezzedine's NPI number?
- Jack Ezzedine's National Provider Identifier (NPI) is 1053137513, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Ezzedine's specialty?
- Jack Ezzedine is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jack Ezzedine located?
- Jack Ezzedine's practice location on file with NPPES is 1000 S Fremont Ave, Alhambra, CA 91803-8800.
- What is Jack Ezzedine's phone number?
- The practice phone number listed in the NPPES registry for Jack Ezzedine is (626) 457-4240.
- Is Jack Ezzedine's NPI active?
- Yes — Jack Ezzedine's NPI (1053137513) is active in the NPPES registry as of the last update on 2024-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.