Dana Ellis (NPI# 1902171341, PAC ID# 4183918881) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1902171341 |
| PAC ID by PECOS | 4183918881 |
| Professional Enrollment ID | I20170417000443 |
| Full Name | Dana Ellis |
| Organization Legal Name | ISLAND DERMATOLOGY, INC. |
| Address |
360 San Miguel Dr Suite 501 Newport Beach CA 92660-7831 |
| Phone Number | 9497201170 |
| Gender | F |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 1850395070 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 360 San Miguel Dr, Suite 501, Newport Beach, CA 92660-7831 | 9497201170 | ISLAND DERMATOLOGY, INC. |
| Organization Legal Name | ISLAND DERMATOLOGY, INC. |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Charlotte Herold | Physician Assistant | Island Dermatology, Inc. | 8345 Firestone Blvd, Suite 310, Downey, CA 90241-3872 |
| Leela Athalye | Dermatology | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
| Reena S Sampat | Physician Assistant | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
| Malcolm S Ke | Dermatology | Island Dermatology, Inc. | 2621 S Bristol St, Suite 309, Santa Ana, CA 92704-5719 |
| Donna Kim Vuu | Physician Assistant | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
| Daryl E Tibbs | Physician Assistant | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
| Mia N Gatti | Physician Assistant | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
| Andrew D Breithaupt | Dermatology | Island Dermatology, Inc. | 210 S Grand Ave, Suite 208, Glendora, CA 91741-4266 |
| Rachel Ali Sheets | Physician Assistant | Island Dermatology, Inc. | 8345 Firestone Blvd, Suite 310, Downey, CA 90241-3872 |
| Navid Nami | Dermatology | Island Dermatology, Inc. | 8345 Firestone Blvd, Suite 310, Downey, CA 90241-3872 |
| Street Address |
360 SAN MIGUEL DR SUITE 501 |
| City | NEWPORT BEACH |
| State | CA |
| Zip | 92660-7831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen B Prepas | Ophthalmology | 360 San Miguel Dr, Suite 407, Newport Beach, CA 92660-7822 | |
| Wenjing Liu | Ophthalmology | 360 San Miguel Dr, Suite 410, Newport Beach, CA 92660-7822 | |
| Lori J Izabal | Family Medicine | Lori J Izabal Md A Professional Corporation | 360 San Miguel Dr, Suite 206, Newport Beach, CA 92660-7820 |
| Ali R Rafatjoo | Family Medicine | Lori J Izabal Md A Professional Corporation | 360 San Miguel Dr, Suite 206, Newport Beach, CA 92660-7820 |
| Nicholas E Rose | Hand Surgery | 360 San Miguel Dr, Suite 701, Newport Beach, CA 92660-5927 | |
| Richard C Harano | Internal Medicine | Hoag Clinic | 360 San Miguel Dr, Suite 105, Newport Beach, CA 92660-7815 |
| Scott K Forman | Orthopedic Surgery | 360 San Miguel Dr, Suite 701, Newport Beach, CA 92660-5927 | |
| Kimiko M Snider | Family Medicine | 360 San Miguel Dr, Suite 206, Newport Beach, CA 92660-7820 | |
| Eduard Balasanian | Oral Surgery | Moody Cummings Balasanian and Caputo Dds Inc | 360 San Miguel Dr, Suite 402, Newport Beach, CA 92660-7830 |
| Ali Sepehr | Otolaryngology | 360 San Miguel Dr, Suite 409, Newport Beach, CA 92660-7822 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nirav B Savalia | Plastic and Reconstructive Surgery | 180 Newport Ctr Dr, Suite 170, Newport Beach, CA 92660 | |
| Joannie D Sun | Dermatology | Dermatology Associates of Orange County, Inc | 230 Newport Ctr Dr, 200 Advanced Dermatology of Orange, Newport Beach, CA 92660 |
| Rumana Mansur | Psychologist, Clinical | 180 Newport Ctr Dr, Suite 270d, Newport Beach, CA 92660 | |
| B B Rahavi | Rheumatology | 400 Newport Ctr Dr, 602a, Newport Beach, CA 92660 | |
| Thomas A Hendrickx | Physical Therapy | 2290 Se Bristol St, Suite 104, Newport Beach, CA 92660-0746 | |
| Lawson Victor Sealey | Chiropractic | 20151 Sw Birch St, Suite 200, Newport Beach, CA 92660-0776 | |
| Estera Han | Nurse Practitioner | Array Skin Therapy, A Medical Corporation | 20162 Sw Birch St, Suite 260, Newport Beach, CA 92660-0787 |
| Parth P Patel | Physical Therapy | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Alejandro Gonzalez | Internal Medicine | Optimum Medical Clinics Inc | 20072 Sw Birch St, Suite 100, Newport Beach, CA 92660-0794 |
| Bettina T Limjoco | Physical Medicine and Rehabilitation | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0795 | |
| Find all physicians in zip 92660 | |||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
| Specialty | DERMATOLOGY |
| City + Specialty | NEWPORT BEACH + DERMATOLOGY |
Please comment or provide details below to improve the information on Dana Ellis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.