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N/A
NPI 1174794770
Clinic/Center - Primary Care in Novato, CA

Active since March 21, 2008
1324 GRANT AVE, NOVATO, CA 94945(415) 892-3300(415) 897-0079 Get Directions Write a Review

NPPES record last updated: November 15, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About N/a NPPES

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

N/A (NPI 1174794770) is a healthcare organization registered as a primary care in Novato, California and active in the NPI registry since March 2008. The organization lists John Elloway, Director, as its authorized official.

NPPES Registry Identity

NPI1174794770
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJOHN ELLOWAY MD A PROFESSIONAL CORP
Location Address1324 GRANT AVENovato, CA 94945-3152
Mailing Address1324 Grant AveNovato, CA 94945-3152 · (415) 892-3300 · Fax (415) 897-0079
Phone(415) 892-3300
Fax(415) 897-0079
Organization SubpartNo
Authorized OfficialJohn EllowayDirector · (415) 892-3300
Enumeration DateMarch 21, 2008
Last NPPES UpdateNovember 15, 2012
✔ NPI 1174794770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · ZZZ24941Z
1324 GRANT AVE, Novato, CA 94945
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Other Identifiers 2

Medicare UPINA22649CA
Medicare PINZZZ24941ZCA

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 John Elloway MD A Professional Corp's NPI number?

The NPI number for John Elloway MD A Professional Corp is 1174794770. It was assigned to this organization in the NPPES registry on March 21, 2008.

Where is John Elloway MD A Professional Corp located?

John Elloway MD A Professional Corp is located at 1324 Grant Ave, Novato, CA 94945. The listed phone number is (415) 892-3300.

What is John Elloway MD A Professional Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for John Elloway MD A Professional Corp was last updated on November 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.