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ELLISON MEDICAL GROUP VEIN TREATMENT CENTER
NPI 1033614706
Specialist in San Diego, CA

Active since March 26, 2018
5330 CARROLL CANYON RD STE 140, SAN DIEGO, CA 92121(669) 201-0667(818) 616-6046 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2026, Apr 13, 2026, Jun 2, 2023 and 5 more (8 updates tracked since 2018).

About Ellison Medical Group Vein Treatment Center NPPES

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

ELLISON MEDICAL GROUP VEIN TREATMENT CENTER (NPI 1033614706) is a healthcare organization registered as a specialist in San Diego, California and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Clifton and lists Michael Nguyen, Owner, as its authorized official.

NPPES Registry Identity

NPI1033614706
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameELLISON MEDICAL GROUP VEIN TREATMENT CENTER
Location Address5330 CARROLL CANYON RD STE 140San Diego, CA 92121-3758
Mailing Address244 Madison Ave Ste 141New York, NY 10016-2817 · (669) 201-0667 · Fax (818) 616-6046
Phone(669) 201-0667
Fax(818) 616-6046
Organization SubpartNo
Authorized OfficialMichael NguyenOwner · (332) 282-5622
Enumeration DateMarch 26, 2018
Last NPPES UpdateJune 24, 20268 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1033614706 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.
5330 CARROLL CANYON RD STE 140, San Diego, CA 92121
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Secondary Practice Location 1

Location 11117 Route 46 Ste 205Clifton, NJ 07013-2450 · Phone (669) 201-0667 · Fax (818) 616-6046

Other Identifiers 1

OtherA108285CA · License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Ellison Medical Group Vein Treatment Center's NPI number?

The NPI number for Ellison Medical Group Vein Treatment Center is 1033614706. It was assigned to this organization in the NPPES registry on March 26, 2018.

Where is Ellison Medical Group Vein Treatment Center located?

Ellison Medical Group Vein Treatment Center is located at 5330 Carroll Canyon Rd Ste 140, San Diego, CA 92121. The listed phone number is (669) 201-0667.

What is Ellison Medical Group Vein Treatment Center'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 Ellison Medical Group Vein Treatment Center was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.