Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD ASHLEY ELLIS, D.O.
Active Sole ProprietorDR. RICHARD ASHLEY ELLIS, D.O. is a Sports Medicine healthcare provider located in REDWOOD CITY, California. NPI 1386702140 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · REDWOOD CITY, CA
Registration Details
- NPI Number
- 1386702140
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2006 (19.733442961022 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
OS17840 (FL)12689 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1190 VETERANS BLVD STE CREDWOOD CITY, CA, 940632037Browse CA providers · Browse ZIP 94063
- Phone
- 6502997800
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in REDWOOD CITY, CA
| Name | Credential | NPI |
|---|---|---|
| ROBERT B KININGHAM | MD | 1346338456 |
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.