Tom Ellis Williams, MD
Tom Ellis Williams, MD is a Family Practice in San Ysidro, California. Qualified in 2003, 23 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 23
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4004 Beyer BlvdSan Ysidro, CA 92173-2007
Phone: (619) 428-1330
Fax: (619) 428-7952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence A100446 (CA) |
|---|
Record details
| NPI number | 1932393220 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 30, 2007 |
| Last updated in NPPES | December 1, 2021 |
| Mailing address | 4004 Beyer Blvd, San Ysidro, CA 92173-2007 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in San Ysidro
-
Jessica Rose Sanders, RN, BSN, MSN, FNP-BC
4004 Beyer Blvd, San Ysidro, CA 92173-2007 · (619) 662-4100
-
Dr. Gregory A Talavera, MD
4004 Beyer Blvd, San Ysidro, CA 92173-2007 · (619) 428-4463
-
Lo Fu Tan, MD
3364 Beyer Blvd Ste 102, San Ysidro, CA 92173-1322 · (702) 617-1227
-
Dr. Nicholas Ryan Whitley, MD
4004 Beyer Blvd, San Ysidro, CA 92173-2007 · (619) 662-4100