Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMANTHA ROSE ELLIS, M.D.
Active Sole ProprietorSAMANTHA ROSE ELLIS, M.D. is a Dermatology healthcare provider located in DANVILLE, California. NPI 1174918098 is currently active in the NPPES registry. Verify at CMS.
Dermatology · DANVILLE, CA
Registration Details
- NPI Number
- 1174918098
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 30, 2015 (11.415299700904 yrs)
- Last Updated
- Apr 18, 2019
- License
-
A144841 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 SAN RAMON VALLEY BLVD STE 102DANVILLE, CA, 945264021Browse CA providers · Browse ZIP 94526
- Phone
- 9258384900
- Fax
- 9258384920
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in DANVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| DANIEL J WALL | M.D. | 1508852013 |
| SONIA BADRESHIA | MD | 1407894074 |
| GERGANA GALLACHER | MD | 1457396277 |
| JEROME POTOZKIN | MD | 1184635195 |
| HAYES BORDMAN GLADSTONE | MD | 1619003282 |
| ALEDA A. LONGWELL | MD | 1093960643 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.