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ANTHONY ELLIS NP
NPI 1063922771
Nurse Practitioner - Family in San Jose, CA

Active since October 07, 2017
2105 FOREST AVE, SAN JOSE, CA 95128(408) 947-2500 Get Directions Write a Review

NPPES record last updated: October 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony Ellis Np NPPES

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

ANTHONY ELLIS NP (NPI 1063922771) is an individual family provider in San Jose, California, licensed in California (95007645) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1063922771
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANTHONY ELLISCredential: NP
Location Address2105 FOREST AVESan Jose, CA 95128-1425
Mailing Address44280 Revere PlFremont, CA 94539-5902 · (510) 387-7011
Phone(408) 947-2500
Sole ProprietorYes
Enumeration DateOctober 7, 2017
✔ NPI 1063922771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95007645
2105 FOREST AVE, San Jose, CA 95128
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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.

ANNA NGUYEN DO
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
RYAN KAR
Perfusionist
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
EMERGENCY PHYSICIANS ASSOCIATES OVERHEAD OPERATING ACCOUNT DENNIS BELO
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
DR. ALLEN CHRISTIAN PARTONO
Student in an Organized Health Care Education/Training Program
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
NERISSA KWOK
Pharmacist
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
THOMAS GILDEA MD
Emergency Medicine
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
GERALDINE OCMEJA
Physical Therapist
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500
VANESSA NGO ON PHARM.D.
Pharmacist
2105 FOREST AVE
SAN JOSE, CA 95128
Santa Clara County (408) 947-2500

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 Anthony Ellis's NPI number?

The NPI number for Anthony Ellis is 1063922771. It was assigned to this individual provider in the NPPES registry on October 7, 2017.

Where is Anthony Ellis located?

Anthony Ellis practices at 2105 Forest Ave, San Jose, CA 95128. The listed phone number is (408) 947-2500.

What is Anthony Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Anthony Ellis was last updated on October 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.