Joseph Ezra, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A31354 Issued in CA

Practice address

19379 Lemmer Dr
Tarzana, CA 91356-5532

Phone

(818) 881-8484

Fax

(818) 881-8230

NPI assigned

May 17, 2006

Last updated

Feb 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Asian Pacific Health Care Venture, Inc.

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1336208255
  Medicare reassignment NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235283094
  Medicare reassignment NPD
• Department of State Hospitals

  dba Coalinga State Hospital

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Memory Check Psychological Services, a Professional Corporation

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1912184219

  Psychiatry

  Medicare reassignment NPD
• Tarzana Treatment Centers, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, CA
  • NPI 1346842093
  Medicare reassignment NPD
• J Ezra MD, Inc.

  • Psychiatry Physician
  • Tarzana, CA
  • NPI 1528259041
  Authorized official Same address or phone
• Asian Pacific Health Care Venture, Inc.

  • Community Health Clinic/Center
  • El Monte, CA
  • NPI 1609147743
  NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Anaheim, CA
  • NPI 1144842014
  NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Upland, CA
  • NPI 1174996318
  NPD
• Department of State Hospitals

  dba Department of State Hospitals - Patton

  • Psychiatric Hospital
  • Patton, CA
  • NPI 1043249204
  NPD
• Department of State Hospitals

  dba Department of State Hospitals-Atascadero

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD
• Tarzana Treatment Centers, Inc.

  • Multi-Specialty Clinic/Center
  • Palmdale, CA
  • NPI 1619702099
  NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1629020755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19379 LEMMER DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565532",
            "telephone_number": "818-881-8484",
            "fax_number": "818-881-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19379 LEMMER DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565532",
            "telephone_number": "818-881-8484",
            "fax_number": "818-881-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZRA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A31354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Executive Recovery Group, Inc (Sanctuary Treatment Center)
• Executive Recovery Group, Inc (Renewal Health Group)
• Express Reliable Diagnostic Inc
• Ariga Eyvazi
• Ezlinkmeds Pharmacy, Inc.
• Alexander Ezzati, LAC
• Nazanin Ezzati, DDS
• Neil D Fagen, MD
• Jeremy Fain
• Azita Fakheri, MD

• Psychiatry Physician in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.