DR. DALE SAMUEL ELLIS (NPI# 1841254141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841254141 |
| Entity Type | Individual |
| Full Name | DR. DALE SAMUEL ELLIS |
| Credential | MD |
| Practice Address |
18582 Beach Blvd Suite 23a Huntington Beach CA 92648-2000 |
| Mailing Address |
3400 Avenue of The Arts J422 Costa Mesa CA 92626-2338 |
| Practice Telephone | 7149644448 |
| Mailing Telephone | 7144449958 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A40971 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932119435 | Dale Edwin Ellis | Physician Assistant | 1000 S Sterling St, Morganton, NC 28655 | 2006-08-08 |
| Street Address |
18582 BEACH BLVD SUITE 23A |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92648-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770721474 | John Lahey | Physician Assistant | 18582 Beach Blvd, Huntington Beach, CA 92648-2000 | 2009-02-03 |
| 1124217807 | John Roy Bergman | Chiropractor | 18582 Beach Blvd, #22, Huntington Beach, CA 92648-2000 | 2007-10-18 |
| 1669519427 | David Firozz | Acupuncturist | 18582 Beach Blvd, Suite 23a, Huntington Beach, CA 92648-2000 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009870 | Nutrition By Gwen Consulting | Dietitian, Registered | 11821 Delaware St. Ste. 236, Huntington Beach, CA 92648 | 2020-09-24 |
| 1679131668 | Honey Dixit | Marriage & Family Therapist | 18992 Florida Street, Apt No. G6, Huntington Beach, CA 92648 | 2019-06-04 |
| 1326525361 | Gold Standard Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 2319 Whitesands Dr Unit 3 & 4, Huntington Beach, CA 92648 | 2018-07-23 |
| 1336690338 | Douglas Chee | Physician Assistant | 1400 Pacific Coast Hwy Apt 201, Huntington Beach, CA 92648 | 2016-10-14 |
| 1801343124 | Serena Trang Ta | Dentist | 18700 Main St Ste 203, Huntington Beach, CA 92648 | 2016-09-02 |
| 1659826485 | Griffo Chiropractic Center Inc | Chiropractor | 18811 Huntington St Ste 100b, Huntington Beach, CA 92648 | 2016-08-22 |
| 1184076143 | Kaely Mcdevitt | Dietitian, Registered | 19400 Beach Blvd Ste 1, Huntington Beach, CA 92648 | 2016-07-01 |
| 1699123885 | Jack Petti | Clinical Medical Laboratory | 226 6th Street, Huntington Beach, CA 92648 | 2016-05-27 |
| 1275980880 | David Whitehouse | Pharmacist | 7989 Aldea Circle, Huntington Beach, CA 92648 | 2016-05-24 |
| 1265886345 | Kimberly Lank | Pediatrics | 19582 Beach Blvd Ste 360, Huntington Beach, CA 92648 | 2016-04-14 |
| Find all providers in zip 92648 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962863993 | Nancy Tran | Internal Medicine | 19636 Dearborne Cir, Huntington Beach, CA 92648-6648 | 2016-03-18 |
| 1245602325 | Medwell Inc. | Internal Medicine | 19582 Cloverwood Circle, Huntington Beach, CA 92648 | 2015-10-28 |
| 1669893962 | Douglas Allen | Internal Medicine | 6811 Scenic Bay Dr, Huntington Beach, CA 92648-2619 | 2014-01-04 |
| 1356604490 | Patrick Lr Farrell | Internal Medicine | 216 Crest Ave, Huntington Beach, CA 92648-3439 | 2012-06-22 |
| 1720310808 | John Joseph Agustines | Internal Medicine | 16801 Coral Cay Ln, Huntington Beach, CA 92649-2908 | 2010-02-01 |
| 1750524328 | Sheetal Sudhir Gavankar | Internal Medicine | 19582 Beach Blvd Ste 250, Huntington Beach, CA 92648-5977 | 2009-04-13 |
| 1467605139 | Kevin J Ivey | Internal Medicine | 16762 Bolero Ln, Huntington Beach, CA 92649-3026 | 2008-10-28 |
| 1891954210 | Louay Shawesh | Internal Medicine | 16712 Saybrook Ln, Apt 116, Huntington Beach, CA 92649-3135 | 2008-06-02 |
| 1528285012 | Richard David Le | Internal Medicine | 1119 Pine St, Huntington Beach, CA 92648-2736 | 2007-04-19 |
| 1831312966 | David Francis Casey | Internal Medicine | 16325 Niantic Cir, Huntington Beach, CA 92649-2141 | 2007-04-10 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92648 |
Please comment or provide details below to improve the information on DR. DALE SAMUEL 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.