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Search › California › 390200000X

Kim Ellis

NPI 1780176008 · on the registry since 2018

Practice

Address
629 Oakland Ave
Oakland, CA 94611
Phone
(415) 340-2504
Organisation at this address
Bay Area Community Services, Inc.
Bay Area Community Services, Inc.
Bay Area Community Services, Inc.
Bay Area Community Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
104

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California