Individual ProviderJohn Michael EllisAcupuncturistOther Service ProvidersPractice Address290 Division St, Suite 400, San Francisco, CA 94103-4882(415) 431-7600PECOS EnrollmentBased on the most recent information from CMS, provider John Michael Ellis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1881661825Provider TypeIndividualFull NameEllis, John MichaelTitleMr.CredentialL.AC.GenderMaleEnumeration Date3/8/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address290 Division St, Suite 400, San Francisco, CA 94103-4882Phone(415) 431-7600Fax(415) 431-7608Mailing LocationMailing Address290 Division St, Suite 400, San Francisco, CA 94103-4882Phone(415) 431-7600Fax(415) 431-7608Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC 9557CaliforniaProvider IdentifiersIDDescriptionIssuerID11458741DescriptionOtherIssuerCAQHCalifornia