Individual provider Active NPI

Tarek Ezzeddine, MD

  • Internal Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1740471879
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C133690 Issued in CA
Practice address
8250 White Oak Ave Ste 106
Rancho Cucamonga, CA 91730-7679
Phone
(909) 360-4722
Fax
(909) 360-4721
NPI assigned
Aug 5, 2007
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C133690 CA Primary
Pediatrics Physician 208000000X C133690 CA

Addresses

Primary practice location

8250 White Oak Ave Ste 106
Rancho Cucamonga, CA 91730-7679

Mailing address

6131 Softwind PL
Rancho Cucamonga, CA 91737-7701
Phone (909) 360-3124

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
I20151119000879 CA Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 7315026697 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onyx Medical Group IncGroup PAC ID 3870016579, 11 clinicians
Remedial Patients Care IncGroup PAC ID 1254719909, 6 clinicians
Careone Healthcare Group IncGroup PAC ID 6305358649, 3 clinicians
Specialized Urgent CareGroup PAC ID 6002312170, 2 clinicians

Practice addresses (Care Compare)

10841 White Oak Ave
Suite 103
Rancho Cucamonga, CA 91730-3817
Phone (909) 360-4772

12442 Limonite Ave
Unit 102
Eastvale, CA 91752-2467
Phone (951) 393-3000

13443 Telegraph Rd
Whittier, CA 90605-3435
Phone (951) 346-0041

1451 Rimpau Ave
Suite 213
Corona, CA 92879-7522
Phone (951) 268-6272

16430 Vanowen St
Unit 207 a
Van Nuys, CA 91406-4729

730 S Central Ave
Suite 211 B
Glendale, CA 91204-2061
Phone (818) 660-0068

7710 Limonite Ave
Suite 101
Jurupa Valley, CA 92509-5342
Phone (714) 768-0090

8250 White Oak Ave
Suite 106
Rancho Cucamonga, CA 91730-7679
Phone (909) 360-4722

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C133690CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Urgent Care Group, Inc Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Feb 1, 2020 Accepting new patients
Aspen View Urgent Care Inc Current Accepting new patients
KND Development 59 LLC CurrentSince Apr 1, 2016 Accepting new patients
Tarek Ezzeddine MD Inc CurrentSince May 1, 2018 Accepting new patients
Mission City Community Network, Inc. Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Feb 1, 2020 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Specialized Urgent Care CurrentSince Aug 25, 2025 Accepting new patients
Chino Medical Group, Inc Internal Medicine CurrentSince Feb 2, 2018 Accepting new patients
Mountain View Urgent Care Group, Inc CurrentSince Nov 1, 2015 Accepting new patients
KND Development 59, LLC CurrentSince Apr 1, 2016 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

5475 Walnut Ave
Chino, CA 91710
Phone (909) 591-6446

12442 Limonite Ave
Unit 102
Eastvale, CA 91752
Phone (951) 393-3000

16465 Sierra Lakes Pkwy
Ste 100
Fontana, CA 92336
Phone (909) 434-1150

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

8250 White Oak Ave
Ste 106
Rancho Cucamonga, CA 91730
Phone (909) 360-4722

10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514

10841 White Oak Ave
Ste 103
Rch Cucamonga, CA 91730
Phone (909) 297-2128

10841 White Oak Ave
Ste 107
Rch Cucamonga, CA 91730
Phone (909) 483-8361

7710 Limonite Ave
Ste 101
Riverside, CA 92509
Phone (714) 768-0090

15206 Parthenia St
Sepulveda, CA 91343

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18095/brand/2/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
RC Harmony Hospice & Palliative Care Inc.Redlands, CA, CCN B51668 Hospice Contracted Managing Employee (100%) Mar 11, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1740471879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6131 SOFTWIND PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917377701",
            "telephone_number": "909-360-3124",
            "fax_number": "909-360-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 WHITE OAK AVE STE 106",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307679",
            "telephone_number": "909-360-4722",
            "fax_number": "909-360-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZZEDDINE",
        "first_name": "TAREK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C133690",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C133690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.