SAMANTHA ROSE ELLIS


Address: 600 San Ramon Valley Blvd Ste 102, Danville, CA 94526-4021
Phone: 9258384900

SAMANTHA ROSE ELLIS (NPI# 1174918098) 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) 1174918098
Entity Type Individual
Full Name SAMANTHA ROSE ELLIS
Credential M.D.
Practice Address 600 San Ramon Valley Blvd Ste 102
Danville
CA 94526-4021
Mailing Address 3301 C St
Suite 1400
Sacramento
CA 95816-3300
Practice Telephone 9258384900
Practice Fax Number 9258384920
Enumeration Date 2015-03-30
Last Update Date 2019-04-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology A144841 CA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
3301 C St, Suite 1400, Sacramento, CA 958163300 9167346371

Other Providers SAMANTHA ELLIS

NPI Name Taxonomy Address Enumeration
1841652567 Samantha Michelle Ellis Social Worker 11097 Se 21st Ave, Milwaukie, OR 97222-7640 2016-03-22
1811417736 Samantha Ellis Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375 2017-06-21
1356799985 Samantha Ellis Nurse Practitioner 15420 N 32nd Dr, Phoenix, AZ 85053 2016-05-24
1710341391 Samantha Ellis Nutritionist 8915 Sw Center St, Tigard, OR 97223-6307 2016-04-08
1861861429 Samantha Ellis Counselor 487 Center St, Manchester, CT 06040-3982 2015-09-24
1578962437 Samantha A Ellis Pharmacist 320 Park Ave, Worcester, MA 01610-1021 2014-08-17
1285044750 Samantha Ellis Dietitian, Registered 44 Pleasant Ave, Walden, NY 12586-1240 2014-05-05
1164726063 Samantha Lee Ellis Registered Nurse 6200 Sw 73rd St, South Miami, FL 33143-4679 2011-01-06

Office Location

Street Address 600 SAN RAMON VALLEY BLVD STE 102
City DANVILLE
State CA
Zip Code 94526-4021

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346706363 Todd M Yonemura Dds, Apc Dentist 400 El Cerro Blvd., Suite #103, Danville, CA 94526 2019-02-14
1821585415 Cynthia N Atchoukeu Behavior Technician 811 San Ramon Valley Suite 100, Danville, CA 94526 2018-04-18
1649708850 Michelle Nicole Kolander Specialist/Technologist 209 Rutherford Dr, Danville, CA 94526 2017-06-01
1396155594 Laurie Elizabeth Wallis Registered Nurse 145 Town & Country Blvd., Suite 106, Danville, CA 94526 2014-04-28
1437585486 Brielle Shipman Chiropractor 391 Diablo Rd, Ste B, Danville, CA 94526 2013-09-23
1841626298 Gloria Lynn Kopp Nurse Practitioner 309 Windstream Place, Danville, CA 94526 2013-09-17
1023378635 Vision Dynamics Optometric Center Optometrist 417 Sycamore Valley Road West, Danville, CA 94526 2012-05-17
1346517620 Adam Wallach,m.d. A Professional Corporation Specialist 400 El Cerro Blvd., Ste. 204, Danville, CA 94526 2011-11-30
1184949661 Judianne Marguriette Walker Podiatrist 1320 El Capitan Ste 410, Danville, CA 94526 2010-03-29
1619108685 Brandon Riggins Counselor 115 Town and Country Dr., Danville, CA 94526 2009-08-07
Find all providers in zip 94526

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427488618 Dermatology & Laser Centre, Inc Dermatology 770 San Ramon Valley Blvd, Danville, CA 94526-4077 2013-11-25
1376805812 Nathan Andrew Merl Jackson Dermatology 4545 Riverside Dr Ste D, Danville, VA 24541-5173 2012-06-11
1689863722 Salli Smith Slone, Md, Psc Dermatology 111 Daniel Drive, Danville, KY 40422-2527 2007-10-15
1184635195 Jerome Potozkin Dermatology 600 San Ramon Valley Blvd, Suite 102, Danville, CA 94526-4014 2006-08-11
1457396277 Gergana Gallacher Dermatology 770 San Ramon Blvd, Danville, CA 94526-4407 2006-06-17
1407894074 Sonia Badreshia Dermatology 360 Rose Ave, Danville, CA 94526-3320 2006-06-03
1083618326 Salli Smith Slone Dermatology 111 Daniel Dr, Danville, KY 40422-2527 2005-06-01
1417586363 Paul Allen Leiphart Dermatology 100 N Academy Ave, Danville, PA 17822-0001 2020-04-03
1821521733 Radhika Rani Trivedi Dermatology 16 Woodbine Lane, Danville, PA 17822 2017-04-07
1881126837 Patrick Kupiec Dermatology 16 Woodbine Ln, Danville, PA 17822 2017-03-29
Find all providers in DANVILLE

Competitor

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City DANVILLE
Zip Code 94526

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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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