EHSAN EJAZ PA
NPI 1689087892
Physician Assistant - Medical in Walnut Creek, CA

Active since June 05, 2014PECOS Enrolled
80.36/100
CMS Quality Rating
130 LA CASA VIA # 2-210, WALNUT CREEK, CA 94598(925) 309-5155(925) 623-5156 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 3, 2025, Dec 3, 2021, Feb 12, 2021 and 2 more (5 updates tracked since 2019).

About Ehsan Ejaz Pa NPPES

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

EHSAN EJAZ PA (NPI 1689087892) is an individual medical provider in Walnut Creek, California, licensed in California (56621) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689087892
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameEHSAN EJAZCredential: PA
Location Address130 LA CASA VIA # 2-210Walnut Creek, CA 94598-3045
Mailing Address130 La Casa Via Ste 210Walnut Creek, CA 94598-3035
Fax(925) 623-5156
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 5, 2014
Last NPPES UpdateJanuary 3, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1689087892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 56621
130 LA CASA VIA # 2-210, Walnut Creek, CA 94598

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ehsan Ejaz Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648504977
PECOS Enrollment IDI20190620001207
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
85 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
84 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
56 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
43 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.85
Improvement Activities40
Cost55.1

Other Providers at the Same Location NPPES

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

Neurological Surgery
130 LA CASA VIA # 2-210
WALNUT CREEK, CA 94598

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689087892, enumerated as an "individual" on June 05, 2014.

The provider is located at 130 LA CASA VIA # 2-210 WALNUT CREEK, CA 94598 and the phone number is (925) 309-5155.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.