Jeanine M Ellinwood, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G80715 Issued in CA

Practice address

6520 Pleasant Valley Rd
Diamond Springs, CA 95619-9512

Phone

(530) 621-7820

NPI assigned

Jul 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Los Palos Medical Associates, Inc

  • Internal Medicine Physician
  • Salinas, CA
  • NPI 1457358756
  NPD Authorized official
• Snowline Eldercare PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Diamond Springs, CA
  • NPI 1649094582
  NPD (past)
• Snowline Hospice of El Dorado County

  • Community Based Hospice Care Agency
  • Diamond Springs, CA
  • NPI 1366449951
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1790782902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 PLEASANT VALLEY RD",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199512",
            "telephone_number": "530-621-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 PLEASANT VALLEY RD",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199512",
            "telephone_number": "530-621-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINWOOD",
        "first_name": "JEANINE",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110131834",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "C006",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharron Lesley Edgecombe
• Alison Ehlers, LMFT
• El Dorado County
• El Dorado County Mental Health
• El Dorado County Mental Health
• Lorena Elliott, MA
• Eric Carl Castaneda
• Mary Jane Eubanks
• Shyla Ann Everett
• Kristy Jean Fackrell

• Internal Medicine Physician in Diamond Springs, CA
• Providers in Diamond Springs, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.