Individual provider Active NPI

Ezequiel Sanchez, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1649577842
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20409 Issued in CA
Practice address
1414 E Florence Ave
Los Angeles, CA 90001-1937
Phone
(323) 588-1383
Fax
(323) 587-1668
NPI assigned
Feb 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20409 CA Primary

Addresses

Primary practice location

1414 E Florence Ave
Los Angeles, CA 90001-1937

Mailing address

2211 Park Rose Ave
Duarte, CA 91010-3537
Phone (626) 485-0511

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150717000854 CA Practitioner - Physician Assistant 1052624202 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20409CAMDMental Health Counselor
PA20409CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Apr 11, 2016 Accepting new patients
Pih Health Physicians CurrentSince Aug 9, 2017 Accepting new patients
Cep America - California CurrentSince Jun 1, 2015 Accepting new patients
Pih Health Physicians CurrentSince Aug 9, 2017 Accepting new patients
Southern California Permanente Medical Group CurrentSince Apr 11, 2016 Accepting new patients
New Hope Podiatry Group Inc. PastSince Dec 29, 2024 Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients

Locations

1850 S Azusa Ave
Ste 88
Hacienda Heights, CA 91745
Phone (626) 964-3040

1400 S Harbor Blvd
La Habra, CA 90631
Phone (714) 879-3400

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

4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784

12400 Bloomfield Ave
Santa Fe Springs, CA 90670
Phone (562) 789-5434

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1649577842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 PARK ROSE AVE",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910103537",
            "telephone_number": "626-485-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 E FLORENCE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900011937",
            "telephone_number": "323-588-1383",
            "fax_number": "323-587-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "EZEQUIEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-24",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.