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Fady Rezk

Physician Assistant β€’ Tustin, CA

Active NPI 1497574230 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

13422 Newport Ave Ste L
Tustin, CA 927803746

Call 7145441521 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

13422 Newport Ave Ste L

Tustin, CA 927803746

Telephone 7145441521
Organization at the Same NPPES Address or Phone
Tustin Longevity Center Facility NPI 1023558210

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Pomona, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Rita R Ellithorpe Md Inc; Sun Medical Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Fady Rezk has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Fady Rezk as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tustin and California

53 active clinicians are listed under Physician Assistant with a practice address in Tustin, CA (14,458 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tustin

11.3% of these 53 clinicians have the CMS telehealth indicator.

24.5% of these 53 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20250717003739

Enrollment State Jurisdiction

CA

PECOS Control ID

5092221028

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Sun Medical Group Inc

1711 W Katella Ave, Anaheim, CA 928046450

Phone: 7143379393

Sun Medical Group Inc

27522 Antonio Pkwy, Ladera Ranch, CA 926942166

Phone: 9492073786

Rita R Ellithorpe Md Inc

13422 Newport Ave, Tustin, CA 927803746

Phone: 7145441521

Secondary Practice Locations

309 E 2nd St

Pomona, CA 917661854

Phone: 9094695378

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1306848809

Doctor of Medicine (M.D.)

Dr. Cyndee Mitchell , MD

Obstetrics & Gynecology - Gynecology

NPI 1447271093

Doctor of Medicine (M.D.)

Priya Patel , PA-C

Physician Assistant

NPI 1316491681

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location November 24, 2024

Registered at 13422 NEWPORT AVE STE L, TUSTIN, CA 927803746 (Tel: 7145441521)

βœ…
NPI Profile Active October 08, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 08, 2024

Registered at 309 E 2ND ST, POMONA, CA 917661854 (Tel: 9094695378)

πŸ“
Business Mailing Address (Initial Record) October 08, 2024

Registered at PO BOX 740, LAKEWOOD, CA 907140740

πŸ‘€
Provider Name / Credentials (Initial Record) October 08, 2024

Recorded as FADY REZK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration October 08, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497574230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2024
Last Update: November 24, 2024
Sole Proprietor: No

Other Physician Assistants in Tustin

All Physician Assistants in Tustin

Mailing Address

Po Box 740

Lakewood, CA 907140740

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.