Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ZACKRY CALVIN ELLIS, PA-C
Active Sole ProprietorMR. ZACKRY CALVIN ELLIS, PA-C is a Surgical Physician Assistant healthcare provider located in NEWPORT BEACH, California. NPI 1366536278 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · NEWPORT BEACH, CA
Registration Details
- NPI Number
- 1366536278
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.870087230123 yrs)
- Last Updated
- Oct 23, 2021
- License
-
PA18593 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
307 PLACENTIA AVE STE 111NEWPORT BEACH, CA, 926633307Browse CA providers · Browse ZIP 92663
- Phone
- 9497221112
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in NEWPORT BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| STACEY MCILROY | P.A.-C. | 1639155740 |
| ERIC VICTOR GLASSMAN | PA-C | 1447287206 |
| MICHAEL OWEN WALKER | PA | 1346277084 |
| SHARI SHARP | P.A. | 1285664458 |
| MR. YACOOB VAHED | P.A.-C | 1386751121 |
| JENNIFER COY | PA-C | 1942356035 |
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.