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ELLEN CLARK WILLIAMS
NPI 1053167296
Student in an Organized Health Care Education/Training Program in Pomona, CA

Active since April 29, 2024PECOS Enrolled
309 E 2ND ST, POMONA, CA 91766(909) 469-5589 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellen Clark Williams NPPES

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

ELLEN CLARK WILLIAMS (NPI 1053167296) is an individual student in an organized health care education/training program in Pomona, California and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053167296
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELLEN CLARK WILLIAMS
Location Address309 E 2ND STPomona, CA 91766-1854
Mailing Address309 E 2nd StPomona, CA 91766-1854 · (909) 469-5589
Phone(909) 469-5589
Sole ProprietorNo
Enumeration DateApril 29, 2024
NPPES CertifiedApril 28, 2024
✔ NPI 1053167296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
309 E 2ND ST, Pomona, CA 91766
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Clark Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

NANCY IRENE NIELSEN-BROWN PA-C
Physician Assistant (Medical)
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5386
BRITTNEY TUNON
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (703) 955-6286
MR. EVAN HERSHMAN
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
CHAU MINH NGUYEN PA-C
Physician Assistant
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (951) 892-4858
AMI PATEL
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
MR. FOUAD HAJJAR
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
THAO BICH VU
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589
JULIA B DIAMANT
Student in an Organized Health Care Education/Training Program
309 E 2ND ST
POMONA, CA 91766
Los Angeles County (909) 469-5589

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 Ellen Williams's NPI number?

The NPI number for Ellen Williams is 1053167296. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Ellen Williams located?

Ellen Williams practices at 309 E 2nd St, Pomona, CA 91766. The listed phone number is (909) 469-5589.

What is Ellen Williams's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ellen Williams enrolled in Medicare?

Yes. Ellen Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Williams was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.