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

Mr. David Garth Ellertson Sr., MD

Individual provider Vascular Surgery Physician · NPI 1912964495

Mr. David Garth Ellertson Sr., MD is a Vascular Surgery Physician in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4101 Tully Rd Ste 101
Modesto, CA 95356-8980
Phone: (209) 524-8346
Fax: (209) 524-7723
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence G17987 (CA)

Record details

NPI number1912964495
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 27, 2006
Last updated in NPPESFebruary 12, 2015

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