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

Mr. Ryan Michael Ellis, PA

Individual provider Medical Physician Assistant · NPI 1528336146

Mr. Ryan Michael Ellis, PA is a Medical Physician Assistant in Wildomar, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone: (951) 566-5610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA21959 (CA)

Record details

NPI number1528336146
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 9, 2011
Last updated in NPPESNovember 29, 2021

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