Jack Theodore Ezzedine
Medical Physician Assistant · Alhambra, CA
Jack Theodore Ezzedine is a medical physician assistant with a practice address in Alhambra, California, and NPI 1053137513, issued on Dec 2, 2024. Check the license with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jack Theodore Ezzedine
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- Practice location
- 1000 S Fremont Ave, Alhambra, CA 91803
- Phone
- (626) 457-4240
- Enumerated
- Dec 2, 2024
- Record last updated
- Dec 2, 2024
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 3,376 in California → Look up another NPI →
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Verify Jack Theodore Ezzedine in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jack Theodore Ezzedine among 3,376 medical physician assistant records in California
Jack Theodore Ezzedine is one of 3,376 medical physician assistant records with a practice address in California. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2024, is newer than 89% of them.
- NPI issued2024 · 89% of these records are older, 6% newer
- In a Medicare fileNo · 69% of these records are
- In the CMS Doctors and Clinicians fileNo · 40% of these records are
- Record last updated2024 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in California
There are 3,376 medical physician assistant records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 3,376 in California → Every provider in Alhambra → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Maral BabikianAlhambra, CA 918031982330502
- Florencia BondiAlhambra, CA 918031447983952
- Krystal EspinozaAlhambra, CA 918031003664541
- Lauren Jeon, PA-CAlhambra, CA 918031689558439
- Robbi Robinson, PA-CAlhambra, CA 918031518601533
- Danica ThiAlhambra, CA 918031346974011
- Clement Chan, PAAlhambra, CA 918011063601904
- Dick Chuang, PHYSICIAN ASSISTANTAlhambra, CA 918011588752349
Common questions
What is Jack Theodore Ezzedine's NPI number?
Jack Theodore Ezzedine's National Provider Identifier (NPI) is 1053137513, issued on Dec 2, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Jack Theodore Ezzedine located?
The NPPES record lists a practice address at 1000 S Fremont Ave, Alhambra, CA, 91803. Phone: (626) 457-4240. Providers update this record themselves, so call before visiting.
How can I verify Jack Theodore Ezzedine's license?
Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.