Ian Elia

Individual provider Active NPI Community Health Worker · Galt, CA

NPI 1144136607 · NPPES record last updated Aug 24, 2026

Key facts

NPI
1144136607
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
693 Athy CT
Galt, CA 95632-8138
Phone
(209) 912-8304
NPI assigned
Aug 24, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CA Yes

Addresses

Primary practice location

693 Athy CT
Galt, CA 95632-8138

Mailing address

693 Athy CT
Galt, CA 95632-8138
Phone (209) 745-3471

Other providers in Galt, CA

All providers in Galt, CA · Community Health Worker in California

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.