ERIC L ELLIS MD INC
NPI 1386118305
Clinic/Center - Urgent Care in Lincoln, CA

Active since January 12, 2019CLIA 05D2319247 · Waiver
77 LINCOLN BLVD STE 1, LINCOLN, CA 95648(916) 258-2751(916) 258-7172 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 21, 2025, Nov 29, 2021, Jan 16, 2020 and 1 more (4 updates tracked since 2019).

About Eric L Ellis Md Inc NPPES

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

ERIC L ELLIS MD INC (NPI 1386118305), doing business as Lincoln Urgent Care, is a healthcare organization registered as an urgent care in Lincoln, California and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through February 24, 2027, maintains 2 additional practice locations, and lists Eric Lee Ellis, President, as its authorized official.

NPPES Registry Identity

NPI1386118305
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameERIC L ELLIS MD INC
Location Address77 LINCOLN BLVD STE 1Lincoln, CA 95648-7422
Mailing Address77 Lincoln Blvd Ste 1Lincoln, CA 95648-7422
Fax(916) 258-7172
Organization SubpartNo
Authorized OfficialEric Lee EllisPresident · (916) 258-2751
Enumeration DateJanuary 12, 2019
Last NPPES UpdateMarch 21, 20254 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
NPI 1386118305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
77 LINCOLN BLVD STE 1, Lincoln, CA 95648

Other Names 1

Doing Business AsLincoln Urgent Care

Secondary Practice Locations 2

Location 15290 Douglas BlvdGranite Bay, CA 95746 · Phone (916) 258-2751
Location 25007 Foothills BlvdRoseville, CA 95747-6503 · Phone (916) 727-6846 · Fax (916) 900-0947

Other Identifiers 1

MedicaidCA333419CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2319247

Eric L Ellis, MD Inc Dba Lincoln Urgent Care-Roseville · Roseville, CA
Active · expires Feb 24, 2027
CLIA Number05D2319247
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorEric L. Ellis
Laboratory Phone(916) 727-6846
Laboratory LocationEric L Ellis, MD Inc Dba Lincoln Urgent Care-Roseville5007 Foothill Blvd, Roseville, CA 95747
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Physician Assistant
77 LINCOLN BLVD STE 1
LINCOLN, CA 95648
Emergency Medicine
77 LINCOLN BLVD STE 1
LINCOLN, CA 95648
Nurse Practitioner (Family)
77 LINCOLN BLVD STE 1
LINCOLN, CA 95648
Physician Assistant
77 LINCOLN BLVD STE 1
LINCOLN, CA 95648
Nurse Practitioner (Family)
77 LINCOLN BLVD STE 1
LINCOLN, CA 95648
Nurse Practitioner (Family)
77 LINCOLN BLVD STE 1
LINCOLN, CA 95648

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 Eric L Ellis MD Inc's NPI number?

The NPI number for Eric L Ellis MD Inc is 1386118305. It was assigned to this organization in the NPPES registry on January 12, 2019. The provider is doing business as Lincoln Urgent Care.

Where is Eric L Ellis MD Inc located?

Eric L Ellis MD Inc is located at 77 Lincoln Blvd Ste 1, Lincoln, CA 95648. The listed phone number is (916) 258-2751.

What is Eric L Ellis MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Eric L Ellis MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2319247) is associated with this NPI, valid through February 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eric L Ellis MD Inc was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.