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

Mrs. Amy Claire Ellsworth, PA-C, MMS

Individual provider Medical Physician Assistant · NPI 1174711436

Mrs. Amy Claire Ellsworth, PA-C, MMS is a Physician Assistant in Del Mar, California. Qualified in 2007, 19 years ago. Practices with Dermatology and Laser Center of San Diego, a 9-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
19
Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

12865 Pointe Del Mar Way Ste #160
Del Mar, CA 92014-3860
Phone: (858) 350-7546
Fax: (858) 350-8282
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA19249 (CA)

Record details

NPI number1174711436
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MMS
Sole proprietorNo
NPI enumeratedOctober 11, 2007
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Dermatology And Laser Center Of San Diego — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Del Mar