Individual provider · Type 1 NPI
Michael Ross
Military Health Care Provider · Travis Afb, CA
NPI number
1295719334
Active
Practice location
124 Bradley Blvd
Travis Afb, CA 94535-1340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | PT 27865 (CA) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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- Gentry Bruce Ensign, DPT, DOMilitary Health Care Provider Travis Afb, CA NPI 1437675576
- Dianne Yvonne Harris, MDMilitary Health Care Provider Travis Afb, CA NPI 1457379455
- Synya Kauhane Balanon, MDMilitary Health Care Provider Travis Afb, CA NPI 1548208069
About NPI 1295719334
Michael Ross's National Provider Identifier is 1295719334, issued on Dec 2, 2005. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Travis Afb, CA. The record was last updated on Jul 13, 2026.