Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Darrell Lamont Ellingberg Jr.

Individual provider Community Health Worker · NPI 1720724826

Darrell Lamont Ellingberg Jr. is a Community Health Worker in Fairfield, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2101 Courage Dr
Fairfield, CA 94533-6717
Phone: (707) 428-1131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1720724826
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2022
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188

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