MR. DELMAR DAVID ELLIS (NPI# 1912063975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912063975 |
| Entity Type | Individual |
| Full Name | MR. DELMAR DAVID ELLIS |
| Credential | RN |
| Practice Address |
228 Broadway St Vallejo CA 94590-4519 |
| Mailing Address |
113 Tyrone Ct Vacaville CA 95688-9365 |
| Practice Telephone | 7075535331 |
| Practice Fax Number | 7075535653 |
| Mailing Telephone | 7074472279 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
537832 | CA | Nursing Service Providers |
| Street Address |
228 BROADWAY ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-4519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629139464 | Cephus Ronnell Fowler | Case Manager/Care Coordinator | 228 Broadway St, Vallejo, CA 94590-4519 | 2006-12-13 |
| 1548406663 | Joan Evelyn Weldon | Student in an Organized Health Care Education/Training Program | 228 Broadway St, Vallejo, CA 94590-4519 | 2008-12-18 |
| 1609052794 | Susan Mae Riley | Counselor | 228 Broadway St, Vallejo, CA 94590-4519 | 2008-01-18 |
| 1326232760 | Estela V Ruvalcaba | Social Worker | 228 Broadway St, Vallejo, CA 94590-4519 | 2007-08-29 |
| 1144412271 | Jorge Martin Argumedo | Social Worker | 228 Broadway St, Vallejo, CA 94590-4519 | 2007-08-13 |
| 1851590996 | Nia Tasha Lozano | Psychiatry & Neurology | 228 Broadway St, Vallejo, CA 94590-4519 | 2007-07-17 |
| 1356544639 | Bryan Edward Harris | Counselor | 228 Broadway St, Vallejo, CA 94590-4519 | 2007-06-06 |
| 1861600157 | Jeff True | Counselor | 228 Broadway St, Vallejo, CA 94590-4519 | 2007-05-18 |
| 1558577486 | Norma Cole Ayers | Counselor | 228 Broadway St, Vallejo, CA 94590-4519 | 2007-05-15 |
| 1891810958 | Manuel Jimenez Jimenez Jr. | Counselor | 228 Broadway St, Vallejo, CA 94590-4519 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285119966 | Josie Gerber | Registered Nurse | 9268 Hallmark Place, Vallejo, CA 94591 | 2018-09-28 |
| 1891232674 | Laura Compton | Registered Nurse | 549 Moorland St, Vallejo, CA 94589-2915 | 2017-01-31 |
| 1588783310 | Christina Dizon | Registered Nurse | 1414 Mariposa St, Vallejo, CA 94590-3524 | 2007-03-29 |
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| 1881292910 | Molly E Reid | Registered Nurse | 1000 S Grand Ave Apt 451, Los Angeles, CA 90015-3474 | 2020-10-12 |
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| 1174141550 | Aline Marie Bales | Registered Nurse | 1669 Marina Way, Brentwood, CA 94513-5133 | 2020-07-11 |
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1235767393 | Julianne Vilardi | Registered Nurse | 3410 Birdsall Ave Unit B, Oakland, CA 94619-2621 | 2020-04-01 |
| 1275169328 | Jennifer Khan | Registered Nurse | 4201 Topanga Canyon Blvd Spc 113, Woodland Hills, CA 91364-5262 | 2020-03-20 |
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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.