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NPI Code Detail

MEDICARE: ELIZABETH VIOLET ELLIS-FALIK PA-C

MEDICARE: ELIZABETH VIOLET ELLIS-FALIK PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1346014081
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH VIOLET ELLIS-FALIK PA-C
Provider Business Mailing Address
First Line : 3030 EXPLORER DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-2728
Country : US
Telephone Number : 916-642-1867
Fax Number : 844-491-6066
Provider Business Practice Location Address
First Line : 3030 EXPLORER DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-2728
Country : US
Telephone Number : 510-325-1863
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2023
Last Update Date : 04/07/2026

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Directions to “ ELIZABETH VIOLET ELLIS-FALIK PA-C” Practice Location

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