EDWARD L ELLSWORTH M.D.
NPI 1477547008
Pathology - Anatomic Pathology & Clinical Pathology in Los Gatos, CA

Q: What is Edward Ellsworth's NPI number?

The NPI number for Edward Ellsworth is 1477547008. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Q: What is Edward Ellsworth's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Edward Ellsworth was last updated on May 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 09, 2005

815 POLLARD RD, LOS GATOS, CA 95032(408) 866-4060(419) 866-5453 Get Directions Write a Review

NPPES record last updated: May 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Edward L Ellsworth M.d. NPPES

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

EDWARD L ELLSWORTH M.D. (NPI 1477547008) is an individual anatomic pathology & clinical pathology provider in Los Gatos, California, licensed in California (A21796) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1477547008

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameEDWARD L ELLSWORTHCredential: M.D.

Location Address815 POLLARD RDLos Gatos, CA 95032-1438

Mailing AddressPo Box 31001Pasadena, CA 91110-2078 · (800) 288-8325 · Fax (419) 866-5453

Phone(408) 866-4060

Fax(419) 866-5453

Sole ProprietorNo

Enumeration DateSeptember 9, 2005

Last NPPES UpdateMay 30, 2014

✔ NPI 1477547008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in CA · A21796

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

815 POLLARD RD, Los Gatos, CA 95032

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Other Identifiers 3

Medicare UPINA22774CA

Medicare ID-Type Unspecified00A217961CA

Medicaid00A217960CA

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.

COMMUNITYHOSPITALOFLOSGATOS,INC.

General Acute Care Hospital