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

Mohammad Ezzati, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1700030418

Mohammad Ezzati, MD is an Undefined Physician Type (Specify) in San Jose, California. Qualified in 2002, 24 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
24
Licensed in
CA, TX
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2581 Samaritan Dr Ste 308
San Jose, CA 95124-4113
Phone: (650) 943-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X · Licence A135887 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence P1995 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700030418
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 7, 2008
Last updated in NPPESJuly 28, 2015

Medicare enrollment

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

Medicare specialtyUNDEFINED PHYSICIAN TYPE (SPECIFY)
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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