DR. DAVID J ELLER (NPI# 1205872413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205872413 |
| Entity Type | Individual |
| Full Name | DR. DAVID J ELLER |
| Credential | M.D. |
| Practice Address |
2281 Paragon Dr San Jose CA 95131-1307 |
| Practice Telephone | 4089612649 |
| Practice Fax Number | 4082446596 |
| Mailing Telephone | 4089612649 |
| Mailing Fax Number | 4082446596 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2015-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A48187 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A481870 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346700614 | David Lawrence Eller | Pharmacist | 911 W Henderson St Ste L20, Salisbury, NC 28144-2706 | 2019-03-22 |
| 1437196664 | David M Eller | Dentist | 2519 3rd Ave, Huntington, WV 25703-1614 | 2006-05-31 |
| Street Address |
2281 PARAGON DR |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95131-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396703179 | Valley Radiology Medical Associates, Inc. | Clinic/Center | 2281 Paragon Dr, Suite 400, San Jose, CA 95131-1307 | 2006-05-02 |
| 1568655462 | Willis Huang | Radiology | 2281 Paragon Dr, Robin Montgomery, Credentialing Manager Nci/vri, San Jose, CA 95131-1307 | 2007-08-23 |
| 1609812916 | Maria Aya Matsumoto | Specialist | 2281 Paragon Dr, San Jose, CA 95131-1307 | 2006-06-22 |
| 1689615312 | Raymond W Chyu | Specialist | 2281 Paragon Dr, San Jose, CA 95131-1307 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346881489 | Herbal Lands Inc | Acupuncturist | 2485 Autumnvale Dr, Ste D, San Jose, CA 95131 | 2019-09-30 |
| 1194373340 | Leylard Santos Caballes | Home Health Aide | 2272 Zoria Circle, San Jose, CA 95131 | 2019-08-30 |
| 1851953848 | Nu Herbal House | Chiropractor | 2092 Concourse Dr #85, San Jose, CA 95131 | 2019-07-01 |
| 1316417900 | Peter Cellarius | Behavior Technician | 2010 N. First St. Ste 402, San Jose, CA 95131 | 2018-11-27 |
| 1285103697 | Connie Bustillo | Case Manager/Care Coordinator | 1356 Ridder Park Drive, San Jose, CA 95131 | 2018-11-14 |
| 1831692722 | Nicholas Jordon Thompson | Counselor | 2218 North First Street, San Jose, CA 95131 | 2018-03-16 |
| 1376072637 | Lee's Care Home | Assisted Living Facility | 5225 Gallant Fox Avenue, San Jose, CA 95131 | 2017-06-08 |
| 1972984649 | Maria De La Luz Gonzalez | Counselor | 1885 Lundy Ave. Suite 223, San Jose, CA 95131 | 2015-06-17 |
| 1720470412 | Bridget Martinez | Physical Therapist | 1172 Murphy Ave #227, San Jose, CA 95131 | 2015-03-04 |
| 1609275593 | Cheryl Lozano | Community Health Worker | 1885 Lundy Ave, Ste 223, San Jose, CA 95131 | 2014-08-18 |
| Find all providers in zip 95131 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965293 | Kathleen Dawn Kraskouskas | Specialist | 541 W Julian St, San Jose, CA 95110-2338 | 2017-11-15 |
| 1861927568 | Crossover Health Medical Group | Specialist | 5601 Great Oaks Pkwy, Bldg 050, San Jose, CA 95119-1003 | 2017-05-01 |
| 1629503255 | Professional Medical Claims Services | Specialist | 5646 Bluegrass Ln, San Jose, CA 95118-3513 | 2017-04-20 |
| 1669873204 | Wendy Ann Brotherton | Specialist | 1401 Parkmoor Ave Ste 230, San Jose, CA 95126-3407 | 2014-09-15 |
| 1225467756 | Ir Solutions Inc | Specialist | 105 N Bascom Ave Ste 104, San Jose, CA 95128-1811 | 2013-11-05 |
| 1558793653 | Angela Dawn Ballou | Specialist | 1052 Delna Manor Ln, San Jose, CA 95128-3457 | 2013-07-31 |
| 1295089670 | Huong Yen Duong | Specialist | 184 Checkers Dr, San Jose, CA 95116-1359 | 2012-11-06 |
| 1407116213 | Cherie Jones | Specialist | 2555 Corde Terra Cir, #331, San Jose, CA 95111-1955 | 2012-05-25 |
| 1215294129 | Nguyen Tan | Specialist | 110 Jackson St, San Jose, CA 95112-5105 | 2012-04-16 |
| 1447522602 | Daniela Bayer | Specialist | 560 S Winchester Blvd, Suite 500, San Jose, CA 95128-2560 | 2012-02-03 |
| Find all providers in SAN JOSE | ||||
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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.