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MR. GARY ARNOLD ELLIS
NPI 1114690187
Rehabilitation Practitioner in Fresno, CA

Active since July 27, 2021
3765 W DAKOTA AVE, FRESNO, CA 93722(556) 271-8421 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Jul 27, 2021 (2 updates tracked since 2021).

About Mr. Gary Arnold Ellis NPPES

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

MR. GARY ARNOLD ELLIS (NPI 1114690187) is an individual rehabilitation practitioner in Fresno, California and active in the NPI registry since July 2021. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1114690187
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMR. GARY ARNOLD ELLIS
Location Address3765 W DAKOTA AVEFresno, CA 93722-4784
Mailing Address4460 W Shaw Ave # 595Fresno, CA 93722-6210 · (559) 261-5083
Phone(556) 271-8421
Sole ProprietorNo
Enumeration DateJuly 27, 2021
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1114690187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
3765 W DAKOTA AVE, Fresno, CA 93722
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Secondary Practice Locations 4

Location 13793 N Polk AveFresno, CA 93722-9763 · Phone (559) 271-1206
Location 2114 S Brawley AveFresno, CA 93706-2103 · Phone (559) 443-2166
Location 32142 N Blythe AveFresno, CA 93722-5402 · Phone (559) 271-8421
Location 47171 W Rialto AveFresno, CA 93723-9407 · Phone (559) 271-8421

Other Providers at the Same Location NPPES 6

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

JOSE G GUERRA QUIROZ JR.
Rehabilitation Practitioner
3765 W DAKOTA AVE
FRESNO, CA 93722
Fresno County (559) 276-7680
CESAR MENDOZA PINEDA
Rehabilitation Practitioner
3765 W DAKOTA AVE
FRESNO, CA 93722
Fresno County (559) 261-5083
VERONICA MANZO
Rehabilitation Practitioner
3765 W DAKOTA AVE
FRESNO, CA 93722
Fresno County (559) 271-8421
ALEJANDRO MAGANA
Rehabilitation Practitioner
3765 W DAKOTA AVE
FRESNO, CA 93722
Fresno County (556) 271-8421
MATTHEW MIRANDA
Counselor
3765 W DAKOTA AVE
FRESNO, CA 93722
Fresno County (556) 271-8421
ANTHONY RENE PEREZ JR.
Rehabilitation Practitioner
3765 W DAKOTA AVE
FRESNO, CA 93722
Fresno County (559) 271-8421

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 Gary Ellis's NPI number?

The NPI number for Gary Ellis is 1114690187. It was assigned to this individual provider in the NPPES registry on July 27, 2021.

Where is Gary Ellis located?

Gary Ellis practices at 3765 W Dakota Ave, Fresno, CA 93722. The listed phone number is (556) 271-8421.

What is Gary Ellis's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Gary Ellis was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.