DR. VICTORIA ERNESTINA ELLSWORTH MD
NPI 1306343132
Student in an Organized Health Care Education/Training Program in Fresno, CA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Victoria Ellsworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bakersfield, CA 93312
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
FRESNO, CA 93722
FRESNO, CA 93722
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 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.
Where is Victoria Ellsworth located?
Victoria Ellsworth practices at 4711 W Ashlan Ave, Fresno, CA 93722. The listed phone number is (559) 203-6640.
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.
Is Victoria Ellsworth enrolled in Medicare?
Yes. Victoria Ellsworth is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Victoria Ellsworth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Ellsworth reassigns Medicare benefits to Southern California Permanente Medical Group (Bakersfield, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victoria Ellsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Victoria Ellsworth was last updated on May 31, 2018. 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.
# Dr. Victoria Ernestina Ellsworth, MD · NPI 1306343132
Student in an Organized Health Care Education/Training Program provider in Fresno, California. Individual provider, active in the CMS NPPES registry since April 9, 2018.
## Identity
- **NPI:** 1306343132 (Entity type: Individual)
- **Enumerated:** April 9, 2018
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4711 W ASHLAN AVE, Fresno, CA 93722
- **Phone:** (559) 203-6640
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1316572753, Bakersfield, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 31, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1306343132) · Data from the CMS NPPES public registry.