DR. JASON ELLIS (NPI# 1861455495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861455495 |
| Entity Type | Individual |
| Full Name | DR. JASON ELLIS |
| Credential | D.C. |
| Practice Address |
3965 Normal St Suit #4 San Diego CA 92103-3422 |
| Practice Telephone | 6198070329 |
| Practice Fax Number | 6192695982 |
| Mailing Telephone | 6198070329 |
| Mailing Fax Number | 6192695982 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2008-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 29926 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831602093 | Jason Lee Ellis | Occupational Therapist | 719 Elysian Fields Ave Fl 2, New Orleans, LA 70117-8511 | 2017-11-09 |
| 1629330949 | Jason S Ellis | Dentist | 440 Coburg Rd, Suite 104, Eugene, OR 97401-5541 | 2012-06-12 |
| 1194840470 | Jason Daniel Ellis | Registered Nurse | 4510 Nocohoma Bnd, Douglasville, GA 30135-8447 | 2007-03-19 |
| 1700914140 | Jason Lee Ellis | Chiropractor | 7250 France Ave S., 300 A, Edina, MN 55435-4346 | 2007-02-28 |
| 1366583163 | Jason Max Ellis | Chiropractor | 4010 Page Ave, Ste 104, Michigan Center, MI 49254-1026 | 2007-02-12 |
| 1285197673 | Jason Ted Ellis | Pharmacist | 500 11th St Sw, Spencer, IA 51301-5826 | 2019-04-11 |
| 1437618055 | Jason Ellis | Chiropractor | 7034 Liberty Rd, Baltimore, MD 21207-5801 | 2019-03-13 |
| 1023466760 | Jason G. Ellis | Nurse Anesthetist, Certified Registered | 2201 Lexington Ave, Ashland, KY 41101-2843 | 2016-06-02 |
| 1578924858 | Jason Ellis | Peer Specialist | 68615 Perez Rd, Suite 6a, Cathedral City, CA 92234-7200 | 2016-03-14 |
| 1679828578 | Jason M Ellis | Family Medicine | 1201 3rd Ave Se, Cedar Rapids, IA 52403-4009 | 2012-07-17 |
| Street Address |
3965 NORMAL ST SUIT #4 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234286 | Hifai Chiropractic Inc | Chiropractor | 7805 Highland Village Pl Ste 104, San Diego, CA 92129-5181 | 2020-10-28 |
| 1871192922 | Jason Trainer | Chiropractor | 4580 Southampton St, San Diego, CA 92117-4032 | 2020-10-20 |
| 1013548601 | Lianna Hunt | Chiropractor | 4616 Pendleton St, San Diego, CA 92109-3719 | 2020-01-31 |
| 1790328557 | Fillat Chiropractic Inc. | Chiropractor | 10444 Clairemont Mesa Blvd, San Diego, CA 92124-1320 | 2019-10-24 |
| 1710533591 | Shane Kelly, D.c., LLC | Chiropractor | 10803 Vista Sorrento Pkwy Ste 100, San Diego, CA 92121-2792 | 2019-08-16 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1457817835 | Sean Patrick Golden | Chiropractor | 11199 Sorrento Valley Rd Ste 201, San Diego, CA 92121-1334 | 2019-02-11 |
| 1134683766 | Christopher Jepsen | Chiropractor | 9040 Friars Rd # 401, San Diego, CA 92108-5859 | 2019-01-28 |
| 1346725769 | Ruben Alexander Montane | Chiropractor | 3069 Lincoln Ave, San Diego, CA 92104-3030 | 2018-10-02 |
| 1033691241 | Jeffrey Ray Greenlee Jr. | Chiropractor | 2245 Fenton Pkwy Ste 109, San Diego, CA 92108-4737 | 2018-09-04 |
| Find all providers in SAN DIEGO | ||||
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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.