DR. RICHARD KIPP ELLSWORTH (NPI# 1093730277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093730277 |
| Entity Type | Individual |
| Full Name | DR. RICHARD KIPP ELLSWORTH |
| Credential | D.O. |
| Practice Address |
460 Greenfield Ave Suite 1 Hanford CA 93230-3500 |
| Practice Telephone | 5595840141 |
| Practice Fax Number | 5595845711 |
| Mailing Telephone | 5595840141 |
| Mailing Fax Number | 5595845711 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2008-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 20A46140 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | A46140 | 01 |
| CA | 020A46140 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598081275 | Richard Lee Ellsworth | Occupational Therapy Assistant | 8115 E. Indian School Rd., Ste 125, Scottsdale, AZ 85250 | 2010-04-20 |
| 1598814964 | Richard G. Ellsworth | Psychologist | 190 Sierra Ct Ste C4, Palmdale, CA 93550-7609 | 2007-01-08 |
| 1083714885 | Richard D. Ellsworth | Dentist | 150 Professional Ct., Ste A, Lafayette, IN 47905-5153 | 2006-09-22 |
| Street Address |
460 GREENFIELD AVE SUITE 1 |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427089150 | Kings Comprehensive Women's Healthcare Medical Group, Inc. | Neuromusculoskeletal Medicine & OMM | 460 Greenfield Ave, Suite 1, Hanford, CA 93230-3500 | 2006-07-05 |
| 1851732622 | Sayed Mohammed Basel | Obstetrics & Gynecology | 460 Greenfield Ave, Suite 1, Hanford, CA 93230-3500 | 2013-07-09 |
| 1952628273 | Jose T. Aranez, M.d. Inc | Obstetrics & Gynecology | 460 Greenfield Ave, Suite 11, Hanford, CA 93230-3500 | 2010-04-26 |
| 1255593299 | Jacqueline G De Castro Md Inc | Family Medicine | 460 Greenfield Ave, Suite 4, Hanford, CA 93230-3500 | 2008-07-01 |
| 1861571796 | Wiley M Elick | Dentist | 460 Greenfield Ave, Ste 9, Hanford, CA 93230-3500 | 2006-11-02 |
| 1902821184 | Lyman A. Rust | Neuromusculoskeletal Medicine, Sports Medicine | 460 Greenfield Ave, Suite 1, Hanford, CA 93230-3500 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427089150 | Kings Comprehensive Women's Healthcare Medical Group, Inc. | Neuromusculoskeletal Medicine & OMM | 460 Greenfield Ave, Suite 1, Hanford, CA 93230-3500 | 2006-07-05 |
| 1881696508 | Michael Nobles Baker | Neuromusculoskeletal Medicine & OMM | 1457 Bailey St, Hanford, CA 93230-5943 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144860743 | Roeshan Shadravan | Neuromusculoskeletal Medicine & OMM | 1505 Lomas Santa Fe Dr, Solana Beach, CA 92075-2103 | 2020-01-11 |
| 1548722416 | R. Mitchell Hiserote Do, Professional Corporation | Neuromusculoskeletal Medicine & OMM | 7064 Corline Ct Ste C1, Sebastopol, CA 95472-4528 | 2019-04-01 |
| 1851768899 | Petaluma Acupuncture Center | Neuromusculoskeletal Medicine & OMM | 720 Southpoint Blvd Ste 211, Petaluma, CA 94954-7496 | 2015-08-25 |
| 1063800258 | Kulveen Sachdeva, Md Inc. | Neuromusculoskeletal Medicine & OMM | 5401 Norris Canyon Road, Suite 110, San Ramon, CA 94583-5402 | 2014-12-23 |
| 1982010559 | Walter Jaye Cohen | Neuromusculoskeletal Medicine & OMM | 3706 Ruffin Rd Ste 129, San Diego, CA 92123-1812 | 2014-07-03 |
| 1962815068 | Sunil Bhat | Neuromusculoskeletal Medicine & OMM | 2555 Flores St Ste 395, San Mateo, CA 94403-2344 | 2014-06-05 |
| 1417298811 | Sibyl Knight | Neuromusculoskeletal Medicine & OMM | 199 17th St Ste J, Pacific Grove, CA 93950 | 2013-03-09 |
| 1447597349 | Lee Ann Marie Cuny | Neuromusculoskeletal Medicine & OMM | 1502 Tennessee St, Vallejo, CA 94590-4627 | 2013-01-11 |
| 1285985820 | Annette Hulse | Neuromusculoskeletal Medicine & OMM | 1 1st St Ste 3, Los Altos, CA 94022-2753 | 2012-09-23 |
| 1871853796 | Brian Peternell | Neuromusculoskeletal Medicine & OMM | 584 35th Ave, Santa Cruz, CA 95062-5111 | 2012-05-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.