Active NPI
Tarek Ezzeddine, MD
- Internal Medicine Physician
- Rancho Cucamonga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C133690
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- No Pain Home Health Care, Inc
- Blue Pacific Home Health
- GD Healthcare
- Achieve Home Health Care, Inc
- Four Seasons Health
- Apf Hospice, Inc.
- RC Harmony Hospice & Palliative Care Inc
- GSR Hospice, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C133690 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Urgent Care Group, Inc | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Aspen View Urgent Care Inc | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| Tarek Ezzeddine MD Inc | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| Mission City Community Network, Inc. | Current | Accepting new patients | |
| KND Development 59 LLC | Current | Accepting new patients | |
| Specialized Urgent Care | Current | Accepting new patients | |
| Chino Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| Mountain View Urgent Care Group, Inc | Current | Accepting new patients | |
| KND Development 59, LLC | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| RC Harmony Hospice & Palliative Care Inc. | 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.
-
- Community Based Hospice Care Agency
- Redlands, CA
- NPI 1104418219
Contracted Managing Employee
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.
-
- Urgent Care Clinic/Center
- Jurupa Valley, CA
- NPI 1770396723
-
- General Practice Physician
- Rancho Cucamonga, CA
- NPI 1295611390
-
- Emergency Medicine Physician
- Fontana, CA
- NPI 1023306784
-
- General Practice Physician
- Rancho Cucamonga, CA
- NPI 1548701287
-
- Primary Care Clinic/Center
- Glendale, CA
- NPI 1164317558
-
- Primary Care Clinic/Center
- Whittier, CA
- NPI 1851191019
-
- Primary Care Clinic/Center
- Corona, CA
- NPI 1508507229
-
dba My Family Medical Group
- Health Maintenance Organization
- Chino, CA
- NPI 1790730786
Internal Medicine
-
- Hospitalist Physician
- Santa Ana, CA
- NPI 1740519081
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hollywood, CA
- NPI 1710102009
-
- Family Medicine Physician
- Glendale, CA
- NPI 1124886437
-
- Hospitalist Physician
- Rancho Cucamonga, CA
- NPI 1487959581
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Colton, CA
- NPI 1871047282
-
- Home Health Agency
- Reseda, CA
- NPI 1427700954
-
- Community Based Hospice Care Agency
- Upland, CA
- NPI 1851986038
-
- Home Health Agency
- Van Nuys, CA
- NPI 1972194165
-
- Home Health Agency
- N Hollywood, CA
- NPI 1487300778
-
- Home Health Agency
- Van Nuys, CA
- NPI 1326708454
-
- Home Health Agency
- Tujunga, CA
- NPI 1235659046
-
- Community Based Hospice Care Agency
- Redlands, CA
- NPI 1104418219
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.