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

Jonathan David Ellis

Individual provider Anesthesiology Physician · NPI 1699152595

Jonathan David Ellis is an Anesthesiology in San Diego, California. Graduated from University of Vermont College of Medicine in 2015, 11 years ago. Practices with Regents of the University of California, a 2,061-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
11
Trained at
University of Vermont College of Medicine
Licensed in
CA, OR
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 707 Sw Washington St Ste 700, Portland, OR 97205-3523 — (503) 299-9906

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A161127 (CA)
Anesthesiology Physician Taxonomy 207L00000X · Licence MD197963 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699152595
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 29, 2015
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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