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

Dr. John Holbert Ellyson, MD

Individual provider Surgery Physician · NPI 1336115922

Dr. John Holbert Ellyson, MD is a Surgery Physician in Jackson, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

340 Lowe St
Jackson, CA 95642-2544
Phone: (209) 223-2474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence G15379 (CA)

Record details

NPI number1336115922
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESJuly 13, 2026
Mailing address340 Lowe St, Jackson, CA 95642-2544

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