Edward L Ellsworth, MD
Anatomic Pathology & Clinical Pathology · Los Gatos
- Medicare standing
- 2 flags on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
- California licence: Delinquent
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Ellsworth’s office at (408) 866-4060 to ask if they take your plan before you enroll.
California Medical Board record
Licence A21796 · Delinquent
Licence status: Delinquent · since 1965 · expires 2026-03-31 · University of Wisconsin Medical School.
License renewal fee has not been paid. No practice is permitted.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Professional record
- NPI
- 1477547008
- Licence
- CA A21796California A21796: Delinquent · expires 2026-03-31
More record details
- Sole proprietor
- No
- Medicaid ID
- CA 00A217960
- Taxonomy
- Federal specialty code 207ZP0102X (207ZP0102X)
- Mailing address
- Po Box 31001, Pasadena, CA, 91110
- NPI first listed
- 2005-09-09
- NPI last updated
- 2014-05-30
This is when the NPI record was last certified, not a medical board exam.