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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
3301 C St, Suite 1400, Sacramento, CA 958163300 | 9167346371 |
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 |
Street Address |
600 SAN RAMON VALLEY BLVD STE 102 |
City | DANVILLE |
State | CA |
Zip Code | 94526-4021 |
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 Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
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. |
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 |
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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.