Peter Ellis, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G60702 Issued in CA

Practice address

420 34TH St
Bakersfield, CA 93301-2237

Phone

(661) 326-0088

NPI assigned

Nov 7, 2006

Sex

Male

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 1

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

Specialty

Emergency MedicineAlso: Internal Medicine

Education

University of Southern California Keck School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Hospital, Bakersfield, CA, CCN 050295

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.07

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

92.65

Improvement activities

40

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.

• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment Care Compare group NPD
• Grand Avenue Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1962913632
  Medicare reassignment NPD
• Pinnacle Emergency Physicians of Bakersfield, a Professional Corp

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1619153251
  Medicare reassignment NPD
• Peter S. Ellis, M.D., Inc.

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1316002546
  NPD Authorized official
• Cep America-California

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1104696806
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• Pinnacle Emergency Physicians of Bakersfield, a Professional Corp

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1639415862
  NPD
• Bakersfield Emergency Medical Corp.

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1578633137
  NPD (past)
• Grossmont Emergency Medical Group

  • Emergency Medicine Physician
  • La Mesa, CA
  • NPI 1861437501
  NPD (past)
• Missione Emergency Medical Associates

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Oxnard, CA
  • NPI 1013907153
  NPD (past)
• Vernon C Sorenson MD Inc.

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1194819920
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  Care Compare affiliation

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1861561540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST",
            "address_2": "SUITE B-100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012284",
            "telephone_number": "661-326-0088",
            "fax_number": "661-861-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 34TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012237",
            "telephone_number": "661-326-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G60702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G607020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kloe Elliott
• Leah Elaine Elliott, DNP, CNM
• Marian Brent Elliott, LCSW
• Riley Taylor Elliott
• Charles Carlisle Ellis, MA, CCC-SLP
• Rachel Maria Ellis, RPH
• Stephenie Lynne Ellis, PHARM.D.
• Patti Ellison, RN
• Kylie Ellsworth
• Telal A Elmaki, DDS

• Emergency Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.