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KIM ELLIS
NPI 1780176008
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since June 01, 2018
629 OAKLAND AVE, OAKLAND, CA 94611(415) 340-2504 Get Directions Write a Review

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

About Kim Ellis NPPES

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

KIM ELLIS (NPI 1780176008) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1780176008
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIM ELLIS
Location Address629 OAKLAND AVEOakland, CA 94611-4567
Mailing Address629 Oakland AveOakland, CA 94611-4567 · (415) 340-2504
Phone(415) 340-2504
Sole ProprietorNo
Enumeration DateJune 1, 2018
Last NPPES UpdateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
✔ NPI 1780176008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
629 OAKLAND AVE, Oakland, CA 94611
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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.

MISS ASIA BILLINGS
Counselor (Mental Health)
629 OAKLAND AVE
OAKLAND, CA 94611
Alameda County (510) 658-9480
GREGORIO VELEZ LCSW
Social Worker (Clinical)
629 OAKLAND AVE
OAKLAND, CA 94611
Alameda County (510) 601-0203
ERIN TOLVA RN
Counselor (Mental Health)
629 OAKLAND AVE
OAKLAND, CA 94611
Alameda County (510) 613-0330
YIQING JIANG
Counselor
629 OAKLAND AVE
OAKLAND, CA 94611
Alameda County (510) 658-9480
PATIENCE KIMARO
Counselor
629 OAKLAND AVE
OAKLAND, CA 94611
Alameda County (510) 613-0330
LENEKA PENDERGRASS
Counselor
629 OAKLAND AVE
OAKLAND, CA 94611
Alameda County (510) 693-0270
VALERIA CORONA
Social Worker
629 OAKLAND AVE
OAKLAND, CA 94611
Alameda County (510) 850-7298
JASON ORTEGA
Counselor (Mental Health)
629 OAKLAND AVE
OAKLAND, CA 94611
Alameda County (510) 318-6112

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 Kim Ellis's NPI number?

The NPI number for Kim Ellis is 1780176008. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Kim Ellis located?

Kim Ellis practices at 629 Oakland Ave, Oakland, CA 94611. The listed phone number is (415) 340-2504.

What is Kim Ellis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kim Ellis was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.