What is Mervin Ellstrom's NPI number?

Mervin Ellstrom's National Provider Identifier (NPI) is 1083052138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mervin Ellstrom's specialty?

Mervin Ellstrom is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Mervin Ellstrom located?

Mervin Ellstrom's practice location on file with NPPES is 12900 Perris Blvd, Moreno Valley, CA 92553-4135.

What is Mervin Ellstrom's phone number?

The practice phone number listed in the NPPES registry for Mervin Ellstrom is (951) 242-3431.

Is Mervin Ellstrom's NPI active?

Yes — Mervin Ellstrom's NPI (1083052138) is active in the NPPES registry as of the last update on 2013-06-11.

IndividualActive

Mervin Ellstrom, DDS

NPI 1083052138 · Dentist · Moreno Valley, CA

Mervin Ellstrom, DDS is a Dentist provider in Moreno Valley, CA (NPI 1083052138).

Provider details

NPI number: 1083052138
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 024928 (CA)

Specialties & taxonomies

DentistPrimary122300000XLicense 024928 (CA)
Dental Providers

Profile Score

Detailed profile(77/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12900 Perris Blvd

Suite 101

Moreno Valley, CA 92553-4135

Phone: (951) 242-3431

Fax: (951) 242-7570

Street-level locationGet directions

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Mailing address