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

Dr. Jon Gabriel Ellison, MD

Individual provider Diagnostic Radiology Physician · NPI 1760630669

Dr. Jon Gabriel Ellison, MD is a Diagnostic Radiology in LA Mesa, California. Graduated from Baylor College of Medicine in 2005, 21 years ago. Practices with X-Ray Medical Group Inc, a 45-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Trained at
Baylor College of Medicine
Licensed in
IL
In the registry since
2008
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

7777 Alvarado Rd Ste 108
LA Mesa, CA 91942-8245
Phone: (619) 460-2774
Fax: (619) 460-2774
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 125049476 (IL)

Record details

NPI number1760630669
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 4, 2008
Last updated in NPPESMarch 2, 2012

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice X-Ray Medical Group Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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