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

Fady Rezk

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497574230

Fady Rezk is a Physician Assistant in Tustin, California. Qualified in 2024, 2 years ago. Practices with Rita R Ellithorpe MD Inc, a 6-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2024
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13422 Newport Ave Ste L
Tustin, CA 92780-3746
Phone: (714) 544-1521
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 E 2nd St, Pomona, CA 91766-1854 — (909) 469-5378

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497574230
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 8, 2024
Last updated in NPPESNovember 24, 2024
Certification dateNovember 24, 2024
Mailing addressPo Box 740, Lakewood, CA 90714-0740

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Rita R Ellithorpe Md Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Tustin