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

Gabriel Ellison, MD

Individual provider Pediatrics Physician · NPI 1053055079

Gabriel Ellison, MD is a Pediatric Medicine in Palo Alto, California. Qualified in 2022, 4 years ago. Licensed in District of Columbia.

Years since qualifying
4
Licensed in
DC
In the registry since
2022
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

725 Welch Rd
Palo Alto, CA 94304-1601
Phone: (650) 497-8979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD600004062 (DC)

Record details

NPI number1053055079
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2022
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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