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

Ellen Xie

Individual provider Dental Hygienist · NPI 1104715895

Ellen Xie is an Undefined Non-Physician Type (Specify) in San Diego, California. Qualified in 2017, 9 years ago. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

6872 Saranac St
San Diego, CA 92115
Phone: (619) 718-2615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 31477 (CA)

Record details

NPI number1104715895
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 8, 2025

Medicare enrollment

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

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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