Jonathan C Ellis MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G52023 Issued in CA

Legal business name

JONATHAN C ELLIS MD INC

Practice address

9090 Wilshire Blvd
Beverly Hills, CA 90211-1848

Phone

(310) 246-2520

Fax

(310) 659-6237

NPI assigned

Jun 26, 2006

Last updated

Jan 21, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jonathan C Ellis, MDNPI 1306876263

Title

President

Phone

(310) 246-2520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan C Ellis, MD

  • Gastroenterology Physician
  • Beverly Hills, CA
  • NPI 1306876263
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1629005921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 WILSHIRE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111848",
            "telephone_number": "310-246-2520",
            "fax_number": "310-659-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 WILSHIRE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111848",
            "telephone_number": "310-246-2520",
            "fax_number": "310-659-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN C ELLIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-246-2520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G52023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Johnson, DC
• Joint Effort Medical Wellness
• Joint Effort Medical Wellness
• Joint Preservation Center, Apc
• Jon P Kea MD
• Jonathan Reitman M.D., Inc.
• Jacqueline Jones, FNP
• Teresa Jones, L.M.F.T.
• Veronica Jones, PA-C
• Joog Medical, Inc., a Professional Corporation

• Gastroenterology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.