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Nolan Ellis, DIVE IDC
NPI 1174019046 · Independent Duty Corpsman · San Diego, CA
Nolan Ellis, DIVE IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1174019046).
Provider details
- NPI number
- 1174019046
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- DIVE IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% 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
3156 Salmon St
San Diego, CA 92124-3616
Phone: (859) 802-9800
Street-level locationGet directions
Mailing address
3156 Salmon St
San Diego, CA 92124-3616
Registry dates
- Enumerated
- 2018-07-03
- Last updated
- 2018-07-03
Frequently asked questions
- What is Nolan Ellis's NPI number?
- Nolan Ellis's National Provider Identifier (NPI) is 1174019046, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nolan Ellis's specialty?
- Nolan Ellis is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Nolan Ellis located?
- Nolan Ellis's practice location on file with NPPES is 3156 Salmon St, San Diego, CA 92124-3616.
- What is Nolan Ellis's phone number?
- The practice phone number listed in the NPPES registry for Nolan Ellis is (859) 802-9800.
- Is Nolan Ellis's NPI active?
- Yes — Nolan Ellis's NPI (1174019046) is active in the NPPES registry as of the last update on 2018-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.