DENISE ELLISON


Address: 3160 Garrity Way, San Pablo, CA 94806-1983
Phone: 5107587462

DENISE ELLISON (NPI# 1225495757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225495757
Entity Type Individual
Full Name DENISE ELLISON
Practice Address 3160 Garrity Way
San Pablo
CA 94806-1983
Practice Telephone 5107587462
Enumeration Date 2016-01-28
Last Update Date 2016-01-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
22040 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers DENISE ELLISON

NPI Name Taxonomy Address Enumeration
1053713172 Denise Ellison Registered Nurse 702 Whitehall Rd, Anderson, SC 29625-2264 2014-09-19
1780820274 Denise Louise Ellison Nurse Practitioner 1400 Old York Rd Ste D, Crs Newborn Center, Abington, PA 19001-2600 2009-01-05
1659548980 Denise Marie Ellison Advanced Practice Midwife 2005 Wilshire Blvd, Los Angeles, CA 90057-3503 2008-05-15

Office Location

Street Address 3160 GARRITY WAY
City SAN PABLO
State CA
Zip Code 94806-1983

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013574375 Alejandra Valle Behavior Technician 2970 Hilltop Mall Rd Suite 104, Richmond, CA 94806 2019-05-22
1629535042 Kaitlin Sue Oshiro Specialist/Technologist 16401 San Pablo Ave. Spc 153, San Pablo, CA 94806 2019-02-21
1114400561 Alan Gonzalez Pharmacist 13691 San Pablo Ave., San Pablo, CA 94806 2018-09-12
1265918783 Laurel Dunn Student in an Organized Health Care Education/Training Program 15501 San Pablo Ave # G317, Richmond, CA 94806 2018-07-17
1720503592 Monika Tippie Marriage & Family Therapist West County Adult Mental Health, 13585 San Pablo Ave, 2nd Floor, San Pablo, CA 94806 2017-08-14
1225553902 Charles Marco Aquilina Student in an Organized Health Care Education/Training Program Y Team, 3260 Blume Dr., Suite 450, Richmond, CA 94806 2017-08-03
1922538545 Hui-teh Hsu Pharmacist 2714 Holly St, San Pablo, CA 94806 2017-06-15
1063942878 Meng-ju Yang Student in an Organized Health Care Education/Training Program 3260 Blume Dr., Suite 450, Richmond, CA 94806 2017-06-14
1346780020 Mae Mayfield Social Worker 3600 Sierra Ridge Drive Apt # 7304, Richmond, CA 94806 2017-03-01
1487000790 Pasha Jackson Family Medicine 2970 Hilltop Mall Rd Ste 304, Richmond, CA 94806 2016-05-05
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1629695440 Kelley Ibarra Nurse Practitioner 1613 Celeste Dr, Modesto, CA 95355-5039 2020-06-26
1497379333 Gloria Jean Campbell Nurse Practitioner 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 2020-06-06
1851913115 Lilly Fong Nurse Practitioner 15821 Square Top Ln, Fontana, CA 92336-4586 2020-05-09
1548880750 Sharkeiya Terrell Nurse Practitioner 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 2020-04-17
1730714007 Julissa Leonides Caraballo Nurse Practitioner 4044 Promontory St, San Diego, CA 92109-5334 2020-03-07
1194355404 Bethany Leda Donowho Nurse Practitioner 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 2020-01-26
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Competitor

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City SAN PABLO
Zip Code 94806

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Dataset Information

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.

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