Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ehsan Ejaz, PA

Individual provider Medical Physician Assistant · NPI 1689087892

Ehsan Ejaz, PA is a Physician Assistant in Walnut Creek, California. Qualified in 2018, 8 years ago. Practices with Maxwell B Merkow MD a Medical Corporation, a 4-clinician group. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

130 La Casa Via # 2-210
Walnut Creek, CA 94598-3045
Phone: (925) 309-5155
Fax: (925) 623-5156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 56621 (CA)

Record details

NPI number1689087892
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 5, 2014
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address130 La Casa Via Ste 210, Walnut Creek, CA 94598-3035

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Maxwell B Merkow Md A Medical Corporation — 4 clinicians
Accepts Medicare assignment Not indicated
Practice locations8 on file with Medicare

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