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

Mr. Lincoln Douglas Ellis II

Individual provider Specialist · NPI 1962081539

Mr. Lincoln Douglas Ellis II is a Specialist in Stockton, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

1212 N California St
Stockton, CA 95202-1552
Phone: (209) 922-3254
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Specialist Taxonomy 174400000X
Day Training/Habilitation Specialist Taxonomy 373H00000X (CA)

Record details

NPI number1962081539
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

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