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

Mr. Anthony Jerome Ellis, CP

Individual provider Prosthetics Case Management · NPI 1124311162

Mr. Anthony Jerome Ellis, CP is a Prosthetics Case Management in Upland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011

Practice location Address checks out

923 W Foothill Blvd
Upland, CA 91786-3729
Phone: (909) 982-3434
Show map & directions

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

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X (CA)

Record details

NPI number1124311162
Entity typeIndividual (Type 1)
GenderMale
Credentials CP
Sole proprietorYes
NPI enumeratedMay 24, 2011
Last updated in NPPESMay 24, 2011