MR. GLEN STEPHEN ELLIS C.P.O.
NPI 1023156130
Specialist in Castro Valley, CA

Q: What is Glen Ellis's NPI number?

The NPI number for Glen Ellis is 1023156130. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Glen Ellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Glen Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2007

3553 CASTRO VALLEY BLVD, SUITE B, CASTRO VALLEY, CA 94546(510) 537-1210(510) 537-1082 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Glen Stephen Ellis C.p.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GLEN STEPHEN ELLIS C.P.O. (NPI 1023156130) is an individual specialist in Castro Valley, California and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1023156130

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. GLEN STEPHEN ELLISCredential: C.P.O.

Location Address3553 CASTRO VALLEY BLVD, SUITE BCastro Valley, CA 94546-4400

Mailing Address2260 Jeffrey StLivermore, CA 94550-6463 · (925) 606-9295 · Fax (925) 606-7855

Phone(510) 537-1210

Fax(510) 537-1082

Sole ProprietorNo

Enumeration DateFebruary 1, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1023156130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3553 CASTRO VALLEY BLVD, Castro Valley, CA 94546

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY ALLAN ZELLNER

Specialist

3553 CASTRO VALLEY BLVD, SUITE B
CASTRO VALLEY, CA 94546

Alameda County (510) 537-1210

ELIZABETH ANN HURLEY C.O.

Specialist

3553 CASTRO VALLEY BLVD, SUITE B
CASTRO VALLEY, CA 94546

Alameda County (307) 752-6915

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Ellis's NPI number?

The NPI number for Glen Ellis is 1023156130. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Glen Ellis located?

Glen Ellis practices at 3553 Castro Valley Blvd Suite B, Castro Valley, CA 94546. The listed phone number is (510) 537-1210.

What is Glen Ellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Glen Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.