TAREK EZZEDDINE (NPI# 1740471879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740471879 |
| Entity Type | Individual |
| Full Name | TAREK EZZEDDINE |
| Credential | MD |
| Practice Address |
10841 White Oak Ave Ste 103 Rancho Cucamonga CA 91730 |
| Mailing Address |
10850 Church St Apt Q301 Rancho Cucamonga CA 91730-8049 |
| Practice Telephone | 8108145600 |
| Practice Fax Number | 9093604721 |
| Mailing Telephone | 8108145600 |
| Mailing Fax Number | 8883762776 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | C133690 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | C133690 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10841 WHITE OAK AVE STE 103 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548701287 | Tarek Ezzeddine Md Inc | General Practice | 10841 White Oak Ave Ste 103, Rancho Cucamonga, CA 91730-3817 | 2017-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447639794 | Inland Respiratory Diagnostics | Internal Medicine | 9668 Milliken Ave, Suite 104398, Rancho Cucamonga, CA 91730-6137 | 2015-05-20 |
| 1184010662 | Michelle El-hajjaoui | Internal Medicine | 5737 Alvarado Pl, Rancho Cucamonga, CA 91739-2448 | 2015-04-10 |
| 1346639952 | Chaparral Medical Group, Inc. | Internal Medicine | 8330 Red Oak Street Suites #101 & 201, Rancho Cucamonga, CA 91730-0602 | 2015-01-20 |
| 1699184184 | Rishi Talwar | Internal Medicine | 7974 Haven Ave Ste 210, Rancho Cucamonga, CA 91730-3052 | 2014-08-08 |
| 1295077295 | Hospitalist Corporation of Inland Empire | Internal Medicine | 9190 Haven Ave Fl 1, Rancho Cucamonga, CA 91730-5431 | 2013-03-18 |
| 1386907038 | Yangdong He | Internal Medicine | 5411 Duncaster Pl, Rancho Cucamonga, CA 91739-2603 | 2012-06-18 |
| 1578879755 | Nazia Siddiqi | Internal Medicine | 8330 Red Oak St Ste 201, Rancho Cucamonga, CA 91730 | 2010-08-25 |
| 1093028078 | Hetalben Makwana | Internal Medicine | 9190 Haven Ave Ste 102, Rancho Cucamonga, CA 91730-5431 | 2010-07-20 |
| 1134430622 | Steven Bradley Harris | Internal Medicine | 10743 Civic Center Dr, Rancho Cucamonga, CA 91730-3806 | 2010-06-29 |
| 1811224298 | Grove Internal Medicine Inc. | Internal Medicine | 8283 Grove Ave Ste 201, Rancho Cucamonga, CA 91730-3140 | 2009-11-05 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.