Russell Ellyson, DO
NPI 1417650052 · Student in an Organized Health Care Education/Training Program · Oakland, CA
Russell Ellyson, DO is a Student in an Organized Health Care Education/Training Program provider in Oakland, CA (NPI 1417650052).
Provider details
- NPI number
- 1417650052
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-03-23
- Last updated
- 2026-06-06
- Certified
- 2026-06-06
Frequently asked questions
- What is Russell Ellyson's NPI number?
- Russell Ellyson's National Provider Identifier (NPI) is 1417650052, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Ellyson's specialty?
- Russell Ellyson is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Russell Ellyson located?
- Russell Ellyson's practice location on file with NPPES is 1411 E 31st St, Oakland, CA 94602-1092.
- What is Russell Ellyson's phone number?
- The practice phone number listed in the NPPES registry for Russell Ellyson is (510) 437-4141.
- Is Russell Ellyson's NPI active?
- Yes — Russell Ellyson's NPI (1417650052) is active in the NPPES registry as of the last update on 2026-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.