MRS. INEZ JUNE EZEA
NPI 1215682729
Nurse Practitioner - Psychiatric/Mental Health in Loma Linda, CA

Active since February 14, 2022PECOS Enrolled
11234 ANDERSON ST, LOMA LINDA, CA 92354(909) 558-4000 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 7, 2024, Feb 14, 2022 (2 updates tracked since 2022).

About Mrs. Inez June Ezea NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. INEZ JUNE EZEA (NPI 1215682729) is an individual psychiatric/mental health provider in Loma Linda, California, licensed in California (NP95028086) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1215682729
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. INEZ JUNE EZEA
Location Address11234 ANDERSON STLoma Linda, CA 92354-2804
Mailing Address1638 Heartland WayCorona, CA 92881-4186 · (714) 420-9554
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 14, 2022
Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1215682729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · NP95028086
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 640168 (CA)
11234 ANDERSON ST, Loma Linda, CA 92354

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Inez June Ezea is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608335328
PECOS Enrollment IDI20260824002493
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Inez Ezea reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inez Ezea's NPI number?

The NPI number for Inez Ezea is 1215682729. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Where is Inez Ezea located?

Inez Ezea practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.

What is Inez Ezea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Inez Ezea enrolled in Medicare?

Yes. Inez Ezea is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Inez Ezea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Inez Ezea reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Inez Ezea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Inez Ezea was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.