Tarek Ezzeddine MD Inc
NPI 1548701287 · General Practice Physician · Rancho Cucamonga, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tarek Ezzeddine MD Inc is a General Practice Physician organization in Rancho Cucamonga, CA (NPI 1548701287).
Provider details
- NPI number
- 1548701287
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tarek Ezzeddine, President(810) 814-5600
- License
- C133690 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% 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
- 2017-03-14
- Last updated
- 2020-01-06
- Certified
- 2020-01-06
Frequently asked questions
- What is Tarek Ezzeddine MD Inc's NPI number?
- Tarek Ezzeddine MD Inc's National Provider Identifier (NPI) is 1548701287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tarek Ezzeddine MD Inc?
- Tarek Ezzeddine MD Inc is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Tarek Ezzeddine MD Inc located?
- Tarek Ezzeddine MD Inc's practice location on file with NPPES is 10841 White Oak Ave Ste 103, Rancho Cucamonga, CA 91730-3817.
- What is Tarek Ezzeddine MD Inc's phone number?
- The practice phone number listed in the NPPES registry for Tarek Ezzeddine MD Inc is (909) 360-4722.
- Does Tarek Ezzeddine MD Inc accept Medicare?
- Tarek Ezzeddine MD Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tarek Ezzeddine MD Inc?
- The authorized official listed on Tarek Ezzeddine MD Inc's NPPES record is Tarek Ezzeddine, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tarek Ezzeddine MD Inc's NPI active?
- Yes — Tarek Ezzeddine MD Inc's NPI (1548701287) is active in the NPPES registry as of the last update on 2020-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.