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TAREK EZZEDDINE MD
NPI 1740471879
Internal Medicine in Rancho Cucamonga, CA

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment
8250 WHITE OAK AVE STE 106, RANCHO CUCAMONGA, CA 91730(909) 360-4722(909) 360-4721 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2025, Jan 6, 2020, Jul 11, 2018 and 2 more (5 updates tracked since 2017).

About Tarek Ezzeddine Md NPPES

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

TAREK EZZEDDINE MD (NPI 1740471879) is an individual internal medicine provider in Rancho Cucamonga, California, licensed in California (C133690) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1740471879
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTAREK EZZEDDINECredential: MD
Location Address8250 WHITE OAK AVE STE 106Rancho Cucamonga, CA 91730-7679
Mailing Address6131 Softwind PlRancho Cucamonga, CA 91737-7701 · (909) 360-3124 · Fax (909) 360-4721
Phone(909) 360-4722
Fax(909) 360-4721
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 5, 2007
Last NPPES UpdateSeptember 4, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1740471879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · C133690
Definition
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.
Also ListedPediatricsTaxonomy 208000000X · License C133690 (CA)
8250 WHITE OAK AVE STE 106, Rancho Cucamonga, CA 91730
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tarek Ezzeddine Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315026697
PECOS Enrollment IDI20151119000879
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 Reassignments

11

Medicare enrollment records show Tarek Ezzeddine reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspen View Urgent Care Inc
Same address
General Practice
8250 WHITE OAK AVE STE 106
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
NPI 1295611390 (909) 360-4722
Knd Development 59 LLC
0.1 mi
Hospitalist
10841 WHITE OAK AVE
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
NPI 1487959581 (909) 581-6400
Tarek Ezzeddine MD Inc
0.1 mi
General Practice
10841 WHITE OAK AVE STE 103
Rancho Cucamonga, CA 91730
  • Reassigned Medicare billing, California enrollment
NPI 1548701287 (909) 360-4722
Mountain View Urgent Care Group, Inc
7.3 mi
Emergency Medicine
16465 SIERRA LAKES PKWY, SUITE 100
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 95 clinicians in this Medicare group
NPI 1023306784 (909) 434-1150
Chino Medical Group, Inc
8.7 mi
Health Maintenance Organization
5475 WALNUT AVE
Chino, CA 91710
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1790730786 (909) 591-6446
Specialized Urgent Care
11 mi
Urgent Care
7710 LIMONITE AVE STE 101
Jurupa Valley, CA 92509
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1770396723 (714) 768-0090
Remedial Patients Care Inc
16 mi
Primary Care
1451 RIMPAU AVE STE 213
Corona, CA 92879
  • Reassigned Medicare billing, California enrollment
  • 32 clinicians in this Medicare group
NPI 1508507229 (951) 268-6272
Mission City Community Network, Inc.
25 mi
Primary Care
513 E LIME AVE, SUITE 103
Monrovia, CA 91016
  • Reassigned Medicare billing, California enrollment
  • 146 clinicians in this Medicare group
NPI 1063795250 (818) 895-3100
Onyx Medical Group Inc
30 mi
Primary Care
13443 TELEGRAPH RD
Whittier, CA 90605
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1851191019 (951) 346-0041
Careone Healthcare Group Inc
40 mi
Primary Care
730 S CENTRAL AVE STE 211-B
Glendale, CA 91204
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1164317558 (818) 660-0068

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

Areas of Expertise CMS Part B claims 5

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

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.
42 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services16 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.
16 services16 patients
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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
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 2

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

ASPEN VIEW URGENT CARE INC
General Practice
8250 WHITE OAK AVE STE 106
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 360-4722
JIHYUN PARK WONG
Nurse Practitioner (Family)
8250 WHITE OAK AVE STE 106
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 360-4722

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 Tarek Ezzeddine's NPI number?

The NPI number for Tarek Ezzeddine is 1740471879. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Tarek Ezzeddine located?

Tarek Ezzeddine practices at 8250 White Oak Ave Ste 106, Rancho Cucamonga, CA 91730. The listed phone number is (909) 360-4722.

What is Tarek Ezzeddine's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tarek Ezzeddine enrolled in Medicare?

Yes. Tarek Ezzeddine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tarek Ezzeddine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tarek Ezzeddine reassigns Medicare benefits to 11 organizations: Aspen View Urgent Care Inc (Rancho Cucamonga, CA), Knd Development 59 LLC (Rancho Cucamonga, CA), Tarek Ezzeddine MD Inc (Rancho Cucamonga, CA), Mountain View Urgent Care Group, Inc (Fontana, CA), Chino Medical Group, Inc (Chino, CA) and 6 more organizations, listed in the Medicare section above. Each 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 Tarek Ezzeddine'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 Tarek Ezzeddine was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.