KEVIN ELLIS (NPI# 1306861703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306861703 |
| Entity Type | Individual |
| Full Name | KEVIN ELLIS |
| Credential | D.O |
| Practice Address |
855 E Madison Ave El Cajon CA 92020-3819 |
| Mailing Address |
425 N Date St Escondido CA 92025-3413 |
| Practice Telephone | 6194402751 |
| Practice Fax Number | 6194402945 |
| Mailing Telephone | 7607372035 |
| Mailing Fax Number | 7607412782 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A5449 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528280237 | Kevin Michael Ellis | Pharmacist | 132 E Lake St, Mccall, ID 83638-3811 | 2007-05-03 |
| 1477526069 | Kevin John Ellis | Dentist | 205 34th St, Suite 112, Virginia Beach, VA 23451-2836 | 2006-02-13 |
| 1598272437 | Kevin Dayton Ellis | Counselor | 2801 C Ct, Ashtabula, OH 44004-4577 | 2017-12-31 |
| 1235479080 | Kevin Ellis | Pharmacist | 127 S State Road 7, Wellington, FL 33414-4338 | 2013-02-15 |
| 1609026426 | Kevin Ellis | Case Manager/Care Coordinator | 4702 W Commercial Dr, Suite C, North Little Rock, AR 72116-7068 | 2008-09-29 |
| 1578537098 | Kevin Scott Ellis | Pediatrics | 1963 Memorial Pkwy Sw, Suite 5, Huntsville, AL 35801-5036 | 2006-02-13 |
| Street Address |
855 E MADISON AVE |
| City | EL CAJON |
| State | CA |
| Zip Code | 92020-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659301547 | Katherine Francis | Pediatrics | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2006-07-04 |
| 1437768017 | Alisia Alyas | Physician Assistant | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2020-07-29 |
| 1558826719 | Ellery Bouwkamp | Physician Assistant | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2019-02-01 |
| 1265966006 | Hannah Green | Family Medicine | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2017-04-19 |
| 1255726154 | Benison Lau | Internal Medicine | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2015-03-30 |
| 1477951523 | Lindsay Summers | Physician Assistant | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2014-12-05 |
| 1457769333 | Wegdan Hanna-haddad | Psychologist | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2014-07-24 |
| 1972929404 | Katherine Rose Lais | Registered Nurse | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2014-03-07 |
| 1043655004 | Arim Jayne Lee | Family Medicine | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2013-05-05 |
| 1083059265 | Judith Anne Tessema | Family Medicine | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2013-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
| 1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
| 1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
| 1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
| 1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
| 1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
| Find all providers in zip 92020 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417755 | Faranak Ghazi Md | Family Medicine | 1625 E Main St Ste 102, El Cajon, CA 92021-5223 | 2020-01-29 |
| 1396219135 | Rejuve2u Inc, A Professional Medical Corporation | Family Medicine | 2150 Chardon Ln, El Cajon, CA 92019-3884 | 2019-01-15 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1144732595 | Ebtissam H Korkis Md Inc | Family Medicine | 1530 Jamacha Rd Ste E-f, El Cajon, CA 92019-3700 | 2017-10-25 |
| 1871889469 | Pushpa K Desai | Family Medicine | 11701 Calle Trucksess, El Cajon, CA 92019-4819 | 2011-06-22 |
| 1851602254 | Julie A Keeler Do Inc | Family Medicine | 771 Jamacha Rd (no Office - Housecalls Only), #257, El Cajon, CA 92019-3202 | 2010-06-30 |
| 1063651552 | Nejat Arab Jalisi | Family Medicine | 1320 E Madison Ave, El Cajon, CA 92021-8531 | 2009-02-06 |
| 1871796086 | Dennis O. Dominguez, Md, A Medical Corporation | Family Medicine | 505 N. Mollison Ave, Suite 201, El Cajon, CA 92021 | 2007-06-06 |
| 1730301706 | Herman Samuel Rauch | Family Medicine | 858 Sycamore Ln., El Cajon, CA 92019-1121 | 2007-05-02 |
| 1457407702 | Patrick Henry Sweet IIi | Family Medicine | 463 N Magnolia Ave, El Cajon, CA 92020-3606 | 2007-01-26 |
| Find all providers in EL CAJON | ||||
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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.