DR. JON GABRIEL ELLISON M.D. NPI 1760630669

NPI Information

  • NPI: 1760630669
  • Provider Name: DR. JON GABRIEL ELLISON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7777 ALVARADO RD STE 108
    LA MESA, CA
    ZIP 91942
  • Phone: (619) 460-2774

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NPI Details

DR. Jon Gabriel Ellison, M.D. is a diagnostic radiology radiology in La Mesa, CA with 21 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jon Gabriel Ellison, M.D. NPI is 1760630669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2005

The provider's business location address is:

7777 ALVARADO RD STE 108
LA MESA, CA
ZIP 91942-245
Phone: (619) 460-2774
Fax: (619) 460-2774

The NPI 1760630669 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of chest with contrast (HCPCS:71260)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Ct scan of leg without contrast (HCPCS:73700)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Complete ultrasound scan of pelvis (HCPCS:76856)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • 3d radiographic procedure (HCPCS:76376)
  • X-ray of forearm, 2 views (HCPCS:73090)

The enumeration date for this NPI number is 9/4/2008 and was last updated on 3/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology125049476ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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