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

Individual provider Medical Physician Assistant · NPI 1871501254

Ronald L Ellison, PA is a Medical Physician Assistant in Costa Mesa, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

352 Costa Mesa St
Costa Mesa, CA 92627-2355
Phone: (714) 293-9950
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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 10402 (CA)

Record details

NPI number1871501254
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESJuly 8, 2007

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