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

Samantha Rose Ellis, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174918098

Samantha Rose Ellis, MD is a Dermatology in Danville, California. Graduated from University of Miami, Lm Miller School of Medicine in 2015, 11 years ago. Practices with Jerome R Potozkin MD, a Professional Corporation, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
CA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 San Ramon Valley Blvd Ste 102
Danville, CA 94526-4021
Phone: (925) 838-4900
Fax: (925) 838-4920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3301 C St, Sacramento, CA 95816-3300 — (916) 734-6371

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A144841 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174918098
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 30, 2015
Last updated in NPPESApril 18, 2019

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Jerome R Potozkin Md, A Professional Corporation — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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