MR. ANTHONY JEROME ELLIS (NPI# 1124311162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124311162 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY JEROME ELLIS |
| Credential | C.P. |
| Practice Address |
923 W Foothill Blvd Upland CA 91786-3729 |
| Practice Telephone | 9099823434 |
| Mailing Telephone | 9099823434 |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2011-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639412661 | Anthony P Ellis | Nutritionist | 361 Carroll St, Suite 1a, Brooklyn, NY 11231-5064 | 2013-03-27 |
| 1801959697 | Anthony R. Ellis | Emergency Medicine | 3478 Inwood Ave, Lake City, IA 51449-7577 | 2006-12-19 |
| 1558370932 | Anthony Nassif Ellis | Chiropractor | 13206 Cottner Street, Omaha, NE 68137 | 2006-08-05 |
| 1063922771 | Anthony Ellis | Nurse Practitioner | 2105 Forest Ave, San Jose, CA 95128-1425 | 2017-10-07 |
| 1497805014 | Anthony Reed Ellis | Psychiatry & Neurology | 1000 Houghton Ave, Saginaw, MI 48602-5303 | 2007-01-12 |
| 1528078300 | Anthony Forrest Ellis | Physical Therapist | 808 Ward St W, Douglas, GA 31533-3514 | 2006-08-08 |
| Street Address |
923 W FOOTHILL BLVD |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871630640 | Gbolahan Ogunbiyi | Durable Medical Equipment & Medical Supplies | 923 W Foothill Blvd, Upland, CA 91786-3729 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549993 | Lisa Tonette Bell | Specialist | 18300 Gridley Rd # 210, Artesia, CA 90701-5440 | 2020-08-23 |
| 1760094445 | Constance Leake | Specialist | 2841 Martin Luther King Jr Ave, Richmond, CA 94804-4021 | 2020-08-23 |
| 1508478090 | Sharon Leduff Spencer | Specialist | 17942 Sky Park Cir Ste D, Irvine, CA 92614-4429 | 2020-08-18 |
| 1497365597 | Jannise Booker | Specialist | 1327 Chestnut St # 5, San Francisco, CA 94123-3105 | 2020-08-04 |
| 1962010678 | Latoya Morris | Specialist | 901 Sara Ct Apt 132, Vacaville, CA 95687-6267 | 2020-07-20 |
| 1023633997 | Okemasherron Hayes | Specialist | 13724 Burbank Blvd, Sherman Oaks, CA 91401-5039 | 2020-06-16 |
| 1578186870 | Joanne Elaine Washington | Specialist | 1219 W Imperial Hwy Ste 100, Brea, CA 92821-3736 | 2020-05-20 |
| 1851926877 | Ashley Johnson | Specialist | 29851 Peppercorn Cir, Menifee, CA 92584-7270 | 2020-03-10 |
| 1700421633 | Jennifer Knox | Specialist | 2356 Hampton Ave, Simi Valley, CA 93063-5055 | 2019-11-14 |
| 1235772526 | Shena Simmons | Specialist | 2232 Warfield Way Unit D, San Jose, CA 95122-3645 | 2019-10-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.