Mervin L. Ellstrom DDS, Inc
NPI 1912121781ActiveOrganization· Dentist, General Practice· Moreno Valley, CA
Dentist, General Practice in Moreno Valley, California, registered in NPPES in April 2007. The authorized official on file is Mervin L. Ellstrom, D.D.S., Owner President.
Overview
| NPI | 1912121781 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 12, 2007 |
| Last updated in NPPES | Jan 7, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 24928 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general dentists in Moreno Valley
- 1134261480
- 1164618724
- 1184842262
- 1336246016
- 1346516952
- 1396291506
- 1447358833
- 1538541701
- 1538581806
- 1609452390
- 1649451196
- 1669682589
All 89 general dentists in Moreno Valley · All general dentists in California