MR. RYAN MICHAEL ELLIS PA
NPI 1528336146
Physician Assistant - Medical in Wildomar, CA
About Mr. Ryan Michael Ellis Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RYAN MICHAEL ELLIS PA (NPI 1528336146) is an individual medical provider in Wildomar, California, licensed in California (PA21959) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Ryan Michael Ellis Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
WILDOMAR, CA 92595
WILDOMAR, CA 92595
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 Ryan Ellis's NPI number?
The NPI number for Ryan Ellis is 1528336146. It was assigned to this individual provider in the NPPES registry on December 9, 2011.
Where is Ryan Ellis located?
Ryan Ellis practices at 36485 Inland Valley Dr, Wildomar, CA 92595. The listed phone number is (951) 566-5610.
What is Ryan Ellis's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Ryan Ellis enrolled in Medicare?
Yes. Ryan Ellis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ryan Ellis was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Ryan Michael Ellis, PA · NPI 1528336146
Medical physician in Wildomar, California. Individual provider, active in the CMS NPPES registry since December 9, 2011.
## Identity
- **NPI:** 1528336146 (Entity type: Individual)
- **Enumerated:** December 9, 2011
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA21959 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 36485 INLAND VALLEY DR, Wildomar, CA 92595-9681
- **Phone:** (951) 566-5610
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** November 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1528336146) · Data from the CMS NPPES public registry.