Search › California › 1223G0001X
Andrew Ellis, D.M.D
NPI 1568710820 · on the registry since 2012
Practice
- Address
- 101 Bodin Cir
Travis Afb, CA 94535 - Phone
- (707) 423-7000
- Organisation at this address
- Dfas
60 Msgs
60th Medgrp-Travis
60th Medical Group
60th Medgrp-TravisInferred from a shared address, not stated in the registry. - Clinicians at this address
- 663
Additional practice sites
- 5041 Business Center Dr Ste 106, Fairfield, CA
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
332BC3200X
390200000X - Licence states on file
- CO, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-27
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