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

Desta Ellis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295140887

Desta Ellis, MD is a Family Practice in Visalia, California. Qualified in 2009, 17 years ago. Practices with Kaweah Delta Health Care District, a 110-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
17
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone: (559) 624-6999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1295140887
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESJune 23, 2014
Mailing address400 W Mineral King Ave, Visalia, CA 93291-6237

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Kaweah Delta Health Care District — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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