Mr. David Garth Ellertson Sr., M.D.

Mr. David Garth Ellertson Sr. is a Vascular Surgery Physician provider (Surgery) practicing in Modesto, CA, registered in the NPPES registry with NPI 1912964495 since 2006. The credential MD stands for Doctor of Medicine.

✓ Active NPI ✓ Valid NPI checksum Sole proprietor

NPI	1912964495
Entity type	Individual (Type 1)
Name	Mr. David Garth Ellertson Sr.
Credential	M.D.
Sex	Male
Practice address	Modesto, CA, 95356
Phone	2095248346
Fax	2095247723
Enumeration date	2006-04-27
Last updated in NPPES	2015-02-12

Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
2086S0129X	Vascular Surgery Physician	Primary	G17987	CA

MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
20014578	Other	CA	MEDICARE ID

Copy-ready billing details

Provider: David Ellertson, M.D.
NPI: 1912964495
Taxonomy: 2086S0129X (Vascular Surgery Physician)
Address: Modesto, CA, 95356

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1700983301	Linda Chen	Individual	General Practice Dentistry	Modesto, CA
1083984942	Wesley Wong	Individual	Dentist	Modesto, CA
1376901371	Nasrin Ergash	Individual	Dentist	Modesto, CA

Verify this record

Cross-check NPI 1912964495 against the authoritative CMS record: view Mr. David Garth Ellertson Sr. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where does David Ellertson practice?

The practice location on file with NPPES is in Modesto, CA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for David Ellertson?

The National Provider Identifier (NPI) for David Ellertson is 1912964495, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-02-12.