RONELL ELLIS (NPI# 1467820860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467820860 |
| Entity Type | Individual |
| Full Name | RONELL ELLIS |
| Practice Address |
1 Moreland Dr San Bruno CA 94066-1670 |
| Practice Telephone | 6502669355 |
| Practice Fax Number | 6502669343 |
| Mailing Telephone | 6502669355 |
| Mailing Fax Number | 6502669343 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1 MORELAND DR |
| City | SAN BRUNO |
| State | CA |
| Zip Code | 94066-1670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437527074 | William Richardson Cooper II | Counselor | 1 Moreland Dr, San Bruno, CA 94066-1670 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497392468 | Harold Relosimon | Behavior Technician | 901 Sneath Lane, Suite 105, San Bruno, Ca 94066, San Bruno, CA 94066 | 2019-12-09 |
| 1093365926 | Liana Greene | Behavior Technician | 1001 Sneath Lane #200, San Bruno, CA 94066 | 2019-09-12 |
| 1568018406 | Susan Page Gadegone | Community Health Worker | 931 San Bruno West Avenue Suite 2, San Bruno, CA 94066 | 2019-08-15 |
| 1184198780 | Sonya Oey Kramer | Pharmacist | 10 Bayhill Drive, San Bruno, CA 94066 | 2019-01-16 |
| 1316410350 | Brennen Marques Mcdowell | Behavioral Analyst | 101 Sneath Lane Ste. 200, 200, San Bruno, CA 94066 | 2019-01-02 |
| 1306317649 | Jacqueline R Lalucis | Behavior Technician | 751 Camino Plaza, San Bruno, Ca 94066, A, San Bruno, CA 94066 | 2018-12-16 |
| 1992275952 | Kenny Malunay | Behavior Technician | 75a El Camino Plaza, San Bruno, CA 94066 | 2018-12-03 |
| 1396236584 | Mariela Pena Yerena | Behavior Technician | 751 El Camino Plaza, Suite A, San Bruno, CA 94066 | 2018-05-23 |
| 1568845816 | Paula Leeanne Park | Physical Therapist | 106 Quail Point Cir, San Bruno, CA 94066 | 2015-07-06 |
| 1275921231 | C & C's Care Home | Assisted Living Facility | 2700 Oakmont Dr., San Bruno, CA 94066 | 2014-12-29 |
| Find all providers in zip 94066 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356560 | Ashley Inez Guerin | Counselor | 1001 Sneath Ln Ste 201, San Bruno, CA 94066-2349 | 2019-10-04 |
| 1720579626 | Jessica Yvette Artiles | Counselor | 439 Milton Ave, San Bruno, CA 94066-4405 | 2018-05-25 |
| 1447383104 | Jasmin Dardon | Counselor | 2259 Shelter Creek Ln, San Bruno, CA 94066-6076 | 2007-03-13 |
| 1033732573 | Jenny Estrada | Counselor | 1001 Sneath Ln, San Bruno, CA 94066-2308 | 2020-05-19 |
| 1861044901 | Nicholas Gabriel Galarza | Counselor | 1001 Sneath Ln Ste 210, San Bruno, CA 94066-2349 | 2019-07-09 |
| 1164085304 | Raymond J Taboada Jr. | Counselor | 1001 Sneath Ln, San Bruno, CA 94066-2308 | 2019-04-14 |
| 1770040149 | Miriam Morales | Counselor | 508 7th Ave, San Bruno, CA 94066-4522 | 2019-02-21 |
| 1891281200 | Steven Christopher Munoz | Counselor | 1001 Sneath Ln Ste 210, San Bruno, CA 94066-2349 | 2018-07-09 |
| 1841785540 | Juliana Soriano | Counselor | 1001 Sneath Ln Ste 210, San Bruno, CA 94066-2349 | 2018-06-25 |
| 1275041295 | Joji Gale Merced Johns | Counselor | 1001 Sneath Ln Ste 210, San Bruno, CA 94066 | 2018-01-11 |
| Find all providers in SAN BRUNO | ||||
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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.