Provider Demographics
NPI:1427923358
Name:ELLERBE, JULIA LEANNA (MHW)
Entity type:Individual
Prefix:MISS
First Name:JULIA
Middle Name:LEANNA
Last Name:ELLERBE
Suffix:
Gender:F
Credentials:MHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1782 B ST
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-3102
Mailing Address - Country:US
Mailing Address - Phone:510-591-0780
Mailing Address - Fax:
Practice Address - Street 1:1782 B ST
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-3102
Practice Address - Country:US
Practice Address - Phone:510-591-0780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker