Individual provider Active NPI

Tamer Rezk, MD

  • Addiction Medicine (Family Medicine) Physician
  • Whittier, CA
National Provider Identifier
1457810285
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
A178729 Issued in CA
Practice address
12291 Washington Blvd Ste 301
Whittier, CA 90606-3815
Phone
(562) 698-0811
NPI assigned
Mar 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Addiction Medicine (Family Medicine) Physician 207QA0401X A178729 CA Primary

Addresses

Primary practice location

12291 Washington Blvd Ste 301
Whittier, CA 90606-3815

Mailing address

27385 Hyatt CT
Laguna Niguel, CA 92677-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802001594 CA Practitioner - Addiction Medicine 4688035918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Portola Medical Services PCGroup PAC ID 4789970773, 22 clinicians

Practice addresses (Care Compare)

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

29100 Portola Pkwy
Suite B
Lake Forest, CA 92630-8713
Phone (844) 254-6382

Hospital & facility affiliations

  • Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A178729CAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Sep 24, 2023 Accepting new patients
Portola Medical Services PC Addiction Medicine CurrentSince Apr 20, 2023 Accepting new patients
Pih Health Physicians CurrentSince Sep 24, 2023 Accepting new patients
Pih Health Physicians Current Accepting new patients
Cypress Urgent Care, Inc PastSince Oct 1, 2009 Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients

Locations

6876 Katella Ave
Cypress, CA 90630
Phone (714) 903-8900

11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000

11411 Brookshire Ave
Downey, CA 90241
Phone (562) 862-4566

9025 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (844) 254-6382

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

25461 Rancho Niguel Rd
Laguna Niguel, CA 92677
Phone (844) 254-6382

29100 Portola Pkwy
Ste B
Lake Forest, CA 92630
Phone (844) 254-6382

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

1511 E Katella Ave
Orange, CA 92867
Phone (844) 254-6382

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

20635 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 581-9497

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tamer.rezk.1@15000.direct.athenahealth.com
  • Direct secure messaging: tamerrezk@pihh.allscriptsdirect.net
  • Direct secure messaging: trezk540384@direct.llu.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1457810285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27385 HYATT CT",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12291 WASHINGTON BLVD STE 301",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906063815",
            "telephone_number": "562-698-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZK",
        "first_name": "TAMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A178729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.