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CHARLES ELLIS
NPI 1841064912
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since November 09, 2023
835 25TH ST, SAN DIEGO, CA 92102(619) 239-9691 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles Ellis NPPES

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

CHARLES ELLIS (NPI 1841064912) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (R1527390923) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1841064912
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLES ELLIS
Location Address835 25TH STSan Diego, CA 92102-2738
Mailing Address835 25th StSan Diego, CA 92102-2738 · (619) 239-9691
Phone(619) 239-9691
Sole ProprietorNo
Enumeration DateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
✔ NPI 1841064912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1527390923
835 25TH ST, San Diego, CA 92102
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Other Providers at the Same Location NPPES 19

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

MR. IOKEPA G MAHI
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
CRASH, INC.
Substance Abuse Rehabilitation Facility
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
COURTNEY DIANE MOORE RADT
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
MADELINE BELTON
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
MICHAEL ANTHONY HOBBS
Social Worker (Clinical)
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
LILIA ULUFANUA
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
STACY RABANAL
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691
BIANCA LASHEA PRUITT
Counselor (Addiction (Substance Use Disorder))
835 25TH ST
SAN DIEGO, CA 92102
San Diego County (619) 239-9691

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 Charles Ellis's NPI number?

The NPI number for Charles Ellis is 1841064912. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Where is Charles Ellis located?

Charles Ellis practices at 835 25th St, San Diego, CA 92102. The listed phone number is (619) 239-9691.

What is Charles Ellis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charles Ellis was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.