Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA ELLIS DO
NPI 1740093525
General Practice in San Diego, CA

Q: What is Angela Ellis's NPI number?

The NPI number for Angela Ellis is 1740093525. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Q: What is Angela Ellis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Ellis was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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 January 28, 2025PECOS Enrolled

NAVAL MEDICAL CENTER 34800 BOB WILSON DR, SAN DIEGO, CA 92134(240) 483-1029 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Angela Ellis Do NPPES

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

ANGELA ELLIS DO (NPI 1740093525) is an individual general practice provider in San Diego, California, licensed in Virginia (0102210339) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740093525

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameANGELA ELLISCredential: DO

Location AddressNAVAL MEDICAL CENTER 34800 BOB WILSON DRSan Diego, CA 92134-5000

Mailing AddressNaval Medical Center 34800 Bob Wilson DrSan Diego, CA 92134-5000 · (240) 483-1029

Phone(240) 483-1029

Sole ProprietorNo

Enumeration DateJanuary 28, 2025

Last NPPES UpdateJuly 6, 2026

NPPES CertifiedJuly 6, 2026

✔ NPI 1740093525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0102210339

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

NAVAL MEDICAL CENTER 34800 BOB WILSON DR, San Diego, CA 92134

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Ellis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID DROZDA DO

Military Health Care Provider

NAVAL MEDICAL CENTER 34800 BOB WILSON DR
SAN DIEGO, CA 92134

San Diego County (619) 532-9795

DR. DANIEL KWANGHOON KIM DO

Military Health Care Provider

NAVAL MEDICAL CENTER 34800 BOB WILSON DR
SAN DIEGO, CA 92134

San Diego County (619) 532-9795

IMELDA MULLER MD

Military Health Care Provider

NAVAL MEDICAL CENTER 34800 BOB WILSON DR
SAN DIEGO, CA 92134

San Diego County (619) 532-5998

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 Angela Ellis's NPI number?

The NPI number for Angela Ellis is 1740093525. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Angela Ellis located?

Angela Ellis practices at Naval Medical Center 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (240) 483-1029.

What is Angela Ellis's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Angela Ellis enrolled in Medicare?

Yes. Angela Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Ellis was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.