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

Dr. Wladislaw V Ellis, MD

Individual provider Interventional Pain Medicine Physician · NPI 1992702039

Dr. Wladislaw V Ellis, MD is an Interventional Pain Management in Grass Valley, California. Graduated from University of California, Geffen School of Medicine in 1970, 56 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
56
Trained at
University of California, Geffen School of Medicine
Licensed in
CA
In the registry since
2005
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

13847 Mallory Ct
Grass Valley, CA 95949
Phone: (510) 849-4703
Fax: (530) 477-6092
Show map & directions

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

Additional practice locations (1)

  • 1220 Oxford St, Berkeley, CA 94709-1423 — (510) 849-4703

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence A24351 (CA)

Record details

NPI number1992702039
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 5, 2005
Last updated in NPPESNovember 16, 2018

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 1970 (56 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grass Valley