SearchCaliforniaStudent in an Organized Health Care Education/Training Program

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
105

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
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