MR. RYAN MICHAEL ELLIS (NPI# 1528336146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528336146 |
| Entity Type | Individual |
| Full Name | MR. RYAN MICHAEL ELLIS |
| Credential | PA |
| Practice Address |
36485 Inland Valley Dr Wildomar CA 92595-9681 |
| Practice Telephone | 9515665610 |
| Mailing Telephone | 9515665610 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2016-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA21959 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861878522 | Ryan Ellis | Nurse Anesthetist, Certified Registered | 4511 Barcelona Cir, Farmington, NM 87401-2892 | 2015-08-05 |
| 1235379454 | Ryan Ellis | Dentist | 5479 N Fresno St Ste 104, Fresno, CA 93710-8328 | 2009-02-27 |
| 1437758828 | Ryan Ellis | Pharmacist | 3575 Bridge Rd, Suffolk, VA 23435-1800 | 2020-10-18 |
| 1477163368 | Ryan Ellis | Physical Therapist | 69 Cottage Rd, Mifflin, PA 17058-7030 | 2020-08-05 |
| 1518596998 | Ryan Charles Ellis | Student in an Organized Health Care Education/Training Program | Cleveland Clinic, 9500 Euclid Avenue/na-23, Cleveland, OH 44195 | 2020-04-07 |
| 1437791399 | Ryan Ellis | Dentist | 31843 Rancho California Rd Ste 300, Temecula, CA 92591-5120 | 2019-10-11 |
| 1811315724 | Ryan Joseph Ellis | Student in an Organized Health Care Education/Training Program | 240 E Huron St, Mcgaw Pavilion, Suite 1-200, Chicago, IL 60611 | 2014-03-29 |
| Street Address |
36485 INLAND VALLEY DR |
| City | WILDOMAR |
| State | CA |
| Zip Code | 92595-9681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063477461 | Medical Laboratory Services Medical Group, Inc. | Pathology | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2006-04-19 |
| 1639709553 | Denisa Pirvu | Nurse Practitioner | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2020-01-20 |
| 1861034696 | Murrieta Pathology Medical Associates Inc | Pathology | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2019-10-14 |
| 1386112803 | Madalyn Jasper | Physical Therapist | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2018-11-02 |
| 1932644143 | Lynda Truong | Physician Assistant | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2016-12-23 |
| 1306204318 | Eds-i Practices of California, A Medical Corporation | Physician Assistant | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2016-02-04 |
| 1053779140 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2016-02-03 |
| 1790140309 | Riverside County Medical Services A Medical Corporation | Emergency Medicine | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2015-12-24 |
| 1639570971 | Grace Hospitalist Group, Inc. | Hospitalist | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2014-09-05 |
| 1417357310 | Gregory O'neil Sanders | Respiratory Therapist, Registered | 36485 Inland Valley Dr, Wildomar, CA 92595-9681 | 2014-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190845 | Amber Nicole Salgado | Licensed Vocational Nurse | 33685 Harvest Way East, Wildomar, CA 92595 | 2018-10-22 |
| 1417448168 | Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | 36320 Inland Valley Dr Ste 101a, Wildomar, CA 92595 | 2018-05-29 |
| 1033636311 | Omar H Nael | Behavioral Analyst | 35925 Susan Dr, Wildomar, CA 92595 | 2017-08-27 |
| 1023535820 | Dennis Bonavilla | Specialist/Technologist, Other | 34859 Frederick Street, Suite 112, Wildomar, CA 92595 | 2017-08-23 |
| 1578965901 | Purnima K Patel M.d Inc | Internal Medicine | 32423 Inland Valley Dr. Ste 160, Wildomar, CA 92595 | 2014-09-17 |
| 1740523133 | Jerry Zhong Yu | Internal Medicine | 36320 Inland Valley Dr Ste 308, Wildomar, CA 92595 | 2013-04-03 |
| 1871859553 | Norman Orr | Internal Medicine | 36485 Valley Medical Center, Wildomar, CA 92595 | 2012-04-06 |
| 1902190226 | Brian Patrick Tiu | Surgery | 36320 Inland Valley Dr Ste 101, Wildomar, CA 92595 | 2011-06-03 |
| 1508013897 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 24335 Prielipp Rd Bldg A, Ste 116, Wildomar, CA 92595 | 2008-08-19 |
| 1760604383 | Nasko Lubenov Atanassov | Physical Therapist | 36485 Inland Valey Drive, Wildomar, CA 92595 | 2007-05-03 |
| Find all providers in zip 92595 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730445891 | Jessica K Meredith | Physician Assistant | 36491 Yamas Dr, Wildomar, CA 92595-9809 | 2012-04-03 |
| 1093224172 | Tashanya Wilson | Physician Assistant | 36320 Inland Valley Dr Ste 307, Wildomar, CA 92595-7512 | 2017-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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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.