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

Laurence Steven Ellner, DPM

Individual provider Podiatrist · NPI 1003907916

Laurence Steven Ellner, DPM is a Podiatry in Fremont, California. Graduated from California School of Podiatric Medicine in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
37
Trained at
California School of Podiatric Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2287 Mowry Ave Ste C
Fremont, CA 94538-1622
Phone: (510) 713-6559
Fax: (510) 713-6537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence E3746 (CA)

Record details

NPI number1003907916
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedSeptember 27, 2006
Last updated in NPPESNovember 12, 2012
Mailing address2287 Mowry Ave, Ste C, Fremont, CA 94538-1622

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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