DR. VICTORIA ERNESTINA ELLSWORTH MD
NPI 1306343132
Student in an Organized Health Care Education/Training Program in Fresno, CA

Q: What is Victoria Ellsworth's NPI number?

The NPI number for Victoria Ellsworth is 1306343132. It was assigned to this individual provider in the NPPES registry on April 9, 2018. The provider is also known as Dr. Victoria Razon MD.

Q: What is Victoria Ellsworth's specialty?

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

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment

4711 W ASHLAN AVE, FRESNO, CA 93722(559) 203-6640 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2018, Apr 9, 2018 (2 updates tracked since 2018).

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About Dr. Victoria Ernestina Ellsworth Md NPPES

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

DR. VICTORIA ERNESTINA ELLSWORTH MD (NPI 1306343132) is an individual student in an organized health care education/training program in Fresno, California and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1306343132

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. VICTORIA ERNESTINA ELLSWORTHCredential: MD

Location Address4711 W ASHLAN AVEFresno, CA 93722

Mailing AddressPo Box 737San Joaquin, CA 93660-0737 · (559) 203-6640

Phone(559) 203-6640

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 9, 2018

Last NPPES UpdateMay 31, 20182 updates tracked since enumeration

✔ NPI 1306343132 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.

4711 W ASHLAN AVE, Fresno, CA 93722

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Other Names 1

Other Name (5)Dr. Victoria Razon Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Victoria Ernestina Ellsworth Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951887140

PECOS Enrollment IDI20260107003199

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.

GURINDER SINGH MD

Student in an Organized Health Care Education/Training Program