DR. WILLIAM ELLIS (NPI# 1619029352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619029352 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM ELLIS |
| Credential | M.D. |
| Practice Address |
6500 Fairmount Ave El Cerrito CA 94530-3667 |
| Practice Telephone | 5105252600 |
| Practice Fax Number | 5105241887 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
G19742 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G197420 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720558711 | William Blair Ellis Jr. | Counselor | 611 W A St, Yakima, WA 98902-2605 | 2018-12-03 |
| 1588940258 | William Ellis Ix | Chiropractor | 933 E Park Dr, Fostoria, OH 44830-2738 | 2011-10-26 |
| 1003107053 | William Michael Ellis | Pharmacist | 4311 Sr 2565, Louisa, KY 41230 | 2011-04-26 |
| 1477682003 | William Joe Ellis | Neuromusculoskeletal Medicine & OMM | 424 W Spencer Ave, Marion, IN 46952-3809 | 2007-03-02 |
| 1093878803 | William John Ellis | Rehabilitation Hospital | 3624 J Dewey Gray Cir Ste 302, Doctors Hospital Sports Medicine, Augusta, GA 30909-6580 | 2006-12-19 |
| 1659465508 | William Bernard Ellis Sr. | Optometrist | 415 Catchings Ave, Indianola, MS 38751-2411 | 2006-10-03 |
| 1689644544 | William G Ellis | Chiropractor | 2400 N Commerce St, Ste # 103, Ardmore, OK 73401-1356 | 2006-01-24 |
| 1073515300 | William W Ellis | Internal Medicine | 100 Mimosa Dr Fl 2, Thomasville, GA 31792-6676 | 2005-05-31 |
| 1194125575 | William Leon Ellis Jr. | Pharmacist | 935 Blowing Rock Blvd, Lenoir, NC 28645-3785 | 2014-09-04 |
| 1952749152 | William Spencer Ellis | Family Medicine | 208 W D L Ingram Blvd, Cannon Afb, NM 88103-5103 | 2013-06-10 |
| Street Address |
6500 FAIRMOUNT AVE |
| City | EL CERRITO |
| State | CA |
| Zip Code | 94530-3667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063494755 | Gilles Henry Tarquin | Chiropractor | 6500 Fairmount Ave, Suite 7b, El Cerrito, CA 94530-3623 | 2005-11-17 |
| 1528506698 | Patricia Le | Optometrist | 6500 Fairmount Ave, Ste 2, El Cerrito, CA 94530-3667 | 2017-02-08 |
| 1962703967 | Debbie Swinarski | Chiropractor | 6500 Fairmount Ave, 7b, El Cerrito, CA 94530-3667 | 2010-11-06 |
| 1134383789 | Eye Center of Northern California | Clinic/Center | 6500 Fairmount Ave, El Cerrito, CA 94530-3667 | 2008-07-14 |
| 1083874648 | Eye Center of Northern California | Clinic/Center | 6500 Fairmount Ave, El Cerrito, CA 94530-3667 | 2008-06-16 |
| 1356532410 | Shalini Samat | Optometrist | 6500 Fairmount Ave, Suite 2, El Cerrito, CA 94530-3667 | 2007-08-05 |
| 1043361819 | Nancy Helen Ewing | Psychologist | 6500 Fairmount Ave, Suite #9, El Cerrito, CA 94530-3661 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659034 | Laura Penna Firme | Acupuncturist | 10329 San Pablo Ave, El Cerrito, CA 94530 | 2019-10-01 |
| 1306490941 | Caroline Danielle Storer | Social Worker | 11175 San Pablo Avenue, El Cerrito, CA 94530 | 2019-08-01 |
| 1063987519 | Ellen Sue Friedman | Marriage & Family Therapist | 139 Ashbury Ave., El Cerrito, CA 94530 | 2018-10-11 |
| 1568947653 | Melissa Azzolino | Behavioral Analyst | 320 Ashbury Avenue, El Cerrito, CA 94530 | 2018-09-25 |
| 1427548429 | Seneca Family of Agencies | Community/Behavioral Health | 7150 Portola Drive, El Cerrito, CA 94530 | 2018-05-15 |
| 1619413887 | Georgia B Cardwell | Counselor | 3319 Carlson Blvd, El Cerrito, CA 94530 | 2017-01-12 |
| 1477924959 | Amrit Kaur Khalsa | Registered Nurse | 2218 Lawrence St, El Cerrito, CA 94530 | 2015-10-09 |
| 1003209933 | Leticia Mariana Gonzalez | Nurse Practitioner | Planned Parenthood El Cerrito Health Center, 320 El Cerrito Plaza, El Cerrito, CA 94530 | 2015-03-17 |
| 1740505262 | Planned Parenthood Shasta Diablo Inc | Clinic/Center | 320 El Cerrito Plaza, El Cerrito, CA 94530 | 2010-03-29 |
| 1770705444 | John D. Ford, Dds & Vincent J. Ford, Dds, Inc. | Dentist | 7001 Stockton Ave., El Cerrito, CA 94530 | 2007-05-03 |
| Find all providers in zip 94530 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245718691 | Artansia Washington | Technician/Technologist | 535 W Flora St Apt 1, Stockton, CA 95203-2433 | 2018-07-29 |
| 1790972693 | Ocular Surgery Medical Associates | Technician/Technologist | 1245 Wilshire Blvd Ste 801, Los Angeles, CA 90017-4808 | 2007-09-25 |
| 1679696124 | Eyes of Bay | Technician/Technologist | 1005 El Camino Real, Redwood City, CA 94063-1692 | 2007-04-09 |
| 1679609234 | Hoang Duy Nguyen | Technician/Technologist | 9371 Kramer Ave, Ste. F, Westminster, CA 92683-5938 | 2007-02-26 |
| 1598832909 | Fullerton Eye Medical Center | Technician/Technologist | 1321 N Harbor Blvd Ste 300, Fullerton, CA 92835-4131 | 2006-11-29 |
| 1013083518 | Margaret T Taw | Technician/Technologist | 3356 W. Ball Rd. Ste. #206, Anaheim, CA 92804 | 2006-11-27 |
| 1720189061 | Rose Medical Group | Technician/Technologist | 2400 N Broadway, Los Angeles, CA 90031-2219 | 2006-09-26 |
| 1588678841 | Edgar A Lucidi | Technician/Technologist | 328 Hazel Drive, Corona Del Mar, CA 92625-3031 | 2006-07-29 |
| 1023030301 | Robert Arthur Yohai | Technician/Technologist | 864 2nd St, Santa Rosa, CA 95404-4610 | 2006-07-24 |
| 1255351755 | Gregory Clifton Tesluk | Technician/Technologist | 400 E Orangeburg Ave Ste 2, Modesto, CA 95350-5365 | 2006-07-20 |
| Find all providers with the same taxonomy | ||||
| City | EL CERRITO |
| Zip Code | 94530 |
Please comment or provide details below to improve the information on DR. WILLIAM ELLIS.
| 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.