DR. JON GABRIEL ELLISON


Address: 7777 Alvarado Rd Ste 108, La Mesa, CA 91942-8245
Phone: 6194602774

DR. JON GABRIEL ELLISON (NPI# 1760630669) 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) 1760630669
Entity Type Individual
Full Name DR. JON GABRIEL ELLISON
Credential M.D.
Practice Address 7777 Alvarado Rd Ste 108
La Mesa
CA 91942-8245
Practice Telephone 6194602774
Practice Fax Number 6194602774
Mailing Telephone 6194602774
Mailing Fax Number 6194602774
Enumeration Date 2008-09-04
Last Update Date 2012-03-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
125049476 IL Allopathic & Osteopathic Physicians

Other Providers JON ELLISON

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1497841134 Jon Charles Ellison Dentist 1939 Erringer Rd, Simi Valley, CA 93065-3524 2006-10-04
1316900954 Jon G Ellison Family Medicine 407 E 22nd St, Huntingburg, IN 47542-8964 2006-04-06

Office Location

Street Address 7777 ALVARADO RD STE 108
City LA MESA
State CA
Zip Code 91942-8245

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902453723 Nicole V Zappelli Case Manager/Care Coordinator 4990 William Ave., La Mesa, CA 91942 2019-08-26
1770059834 Natalie Ngoc Nguyen Physician Assistant 5555 Grosmont Center Dr., La Mesa, CA 91942 2018-10-16
1194204297 Courtney Pietsch Nurse Practitioner 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 2018-08-09
1295214773 Megan Gordon Behavior Technician 6116 Horton Dr, La Mesa, CA 91942 2018-08-07
1356836548 Kimberly Denise Davis Counselor 3845 Avocado School Road, El Cajon, CA 91942 2018-06-29
1366932113 Melanie Joyce Shepard Physician Assistant 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 2018-05-17
1871013532 Low Dental, A.p.c. Public Health or Welfare 7872 La Mesa Blvd., La Mesa, CA 91942 2017-06-23
1275069437 Ardel Ayala Respiratory Therapist, Registered 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 2017-05-10
1285007583 Counseling & Behavioral Specialists Marriage & Family Therapist 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 2015-11-09
1285001875 Emily Shozaki Rizo Nurse Practitioner 6285 Meadowcrest Drive, La Mesa, CA 91942 2015-08-31
Find all providers in zip 91942

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659326460 Weiling Chang Radiology 8881 Fletcher Parkway #102, La Mesa, CA 91942 2006-05-23
1982657441 William A. Renert Radiology 7777 Alvarado Road, Suite 108, La Mesa, CA 91941-3645 2006-05-18
1528011020 Alexander S Urioste Radiology 8881 Fletcher Parkway, #102, La Mesa, CA 91942 2006-05-18
1740232776 X-ray Medical Group, Inc Radiology 7777 Alvarado Rd, Suite 108, La Mesa, CA 91941-3616 2006-05-17
1346684156 Scott Carey Honowitz Radiology 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2013-04-23
1538502331 Alex Wang Sun Radiology 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2013-04-10
1720303191 Valentin A. Lance Radiology 5555 Grossmont Center Dr, Radiology Department, La Mesa, CA 91942-3019 2010-03-29
1952514978 Jenna I Liu Radiology 8881 Fletcher Parkway, #102, La Mesa, CA 91942 2007-05-07
1285673699 Tuan Xuan Ha Radiology 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2006-06-05
1144276189 Grossmont Imaging, LLC Radiology 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 2006-05-25
Find all providers in LA MESA

Competitor

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City LA MESA
Zip Code 91942

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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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