Ehsan Ejaz, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

56621 Issued in CA

Practice address

130 La Casa Via # 2-210
Walnut Creek, CA 94598-3045

Phone

(925) 309-5155

Fax

(925) 623-5156

NPI assigned

Jun 5, 2014

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Maxwell B Merkow MD a Medical CorporationGroup PAC ID 8325317282, 4 clinicians

Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

John Muir Trauma Physicians Billing ServiceGroup PAC ID 3476542515, 111 clinicians

Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599
• John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180

Merit-based Incentive Payment System (MIPS)

Final score

83.15 of 100Reported as group

Quality

64.8

Promoting interoperability

100

Improvement activities

40

Cost

68.65

Merit-based Incentive Payment System (MIPS)

Final score

83.63 of 100Reported as group

Quality

67.56

Improvement activities

40

Cost

71.56

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Bass Medical Group

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
  • NPI 1174253405
  Medicare reassignment Care Compare group NPD (past)
• John Muir Trauma Physicians Billing Service

  • Hospitalist Physician
  • Walnut Creek, CA
  • NPI 1093864837
  Medicare reassignment Care Compare group
• Maxwell B. Merkow MD, a Medical Corporation

  • Neurological Surgery Physician
  • Walnut Creek, CA
  • NPI 1598290769
  Medicare reassignment Care Compare group
• Regents of the Univ of Ca

  • Maternal & Fetal Medicine Physician
  • Sacramento, CA
  • NPI 1013906973
  Medicare reassignment Care Compare group
• Moussa F Yazbeck MD Inc

  • Personal Emergency Response Attendant
  • Walnut Creek, CA
  • NPI 1013313071
  Medicare reassignment
• Advanced Sleep Diagnostics, Inc.

  • Sleep Medicine (Otolaryngology) Physician
  • Walnut Creek, CA
  • NPI 1295274488
  NPD
• Bass Medical Group

  • Orthopaedic Surgery Physician
  • San Ramon, CA
  • NPI 1467329904
  NPD
• Dignity Health Medical Foundation

  • Multi-Specialty Clinic/Center
  • Woodland, CA
  • NPI 1144497678
  NPD
• John Muir Trauma Physicians Billing Service

  • Trauma Surgery Physician
  • Walnut Creek, CA
  • NPI 1962551861
  NPD
• Regents of the Univ of Ca

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1477546406
  NPD
• Regents of the University of Ca

  • Pediatric Critical Care Medicine Physician
  • Sacramento, CA
  • NPI 1104815067
  NPD
• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)

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

• John Muir Health

  • General Acute Care Hospital
  • Walnut Creek, CA
  • NPI 1740215219
  Care Compare affiliation
• Regents of the University of California

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1710918545
  Care Compare affiliation

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1689087892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA # 2-210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983045",
            "telephone_number": "925-309-5155",
            "fax_number": "925-623-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJAZ",
        "first_name": "EHSAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "56621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Eidus, MD
• Amber Eifler, MA
• Monica Sue Eigelberger, M.D.
• Cecilia Ein
• Jared Eisenberg
• Sarah Marie Ekberg, PA-C
• Stephanie N Ekhomu
• Sarra Naji El Chaar
• Marjan Elaha
• Sania Elahi, MD

• Medical Physician Assistant in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.