Sachi Lynne Ezaki, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 14712 Issued in CA

Practice address

147 W College St
Covina, CA 91723-2008

Phone

(626) 332-2860

Fax

(626) 967-3300

NPI assigned

Nov 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sachi De Leon Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Emanate Health Medical Care Foundation

  • Multi-Specialty Clinic/Center
  • West Covina, CA
  • NPI 1467195073
  Medicare reassignment
• Emanate Health Foothill Presbyterian Hospital

  • General Acute Care Hospital
  • Glendora, CA
  • NPI 1992733513
  NPD (past)

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1821177254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 CAMINO DEL SUR",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734404",
            "telephone_number": "310-869-1465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W COLLEGE ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232008",
            "telephone_number": "626-332-2860",
            "fax_number": "626-967-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZAKI",
        "first_name": "SACHI",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-05",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 14712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SACHI",
            "last_name": "DE LEON",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tayonah Evans
• William D Evans V
• Catherine Marie Ewing-Moore
• Extra Care Home Health
• Extracare Home Health Services, Inc
• Andrea Isabel Ezeb I
• Vanessa Jean Fahey, RD CNSC
• Faith Care Hospice, Inc.
• Alexander J Fallentine
• Families and Schools Empowered Inc.

• Medical Physician Assistant in Covina, CA
• Providers in Covina, 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 Oct 22, 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.