DR. RITA RENEE ELLITHORPE (NPI# 1306848809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306848809 |
| Entity Type | Individual |
| Full Name | DR. RITA RENEE ELLITHORPE |
| Credential | M.D. |
| Practice Address |
13422 Newport Ave Suite L Tustin CA 92780-3746 |
| Practice Telephone | 7145441521 |
| Practice Fax Number | 7145441904 |
| Mailing Telephone | 7145441521 |
| Mailing Fax Number | 7145441904 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G83575 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA# | BE2128165 | 01 |
| Street Address |
13422 NEWPORT AVE SUITE L |
| City | TUSTIN |
| State | CA |
| Zip Code | 92780-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559896 | Maureen Roberta Dornan | Dentist | 13422 Newport Ave, Ste B, Tustin, CA 92780-3746 | 2005-06-21 |
| 1023558210 | Tustin Longevity Center | Preferred Provider Organization | 13422 Newport Ave, Suite L, Tustin, CA 92780-3746 | 2017-03-07 |
| 1821478694 | Bigdeli Dds Inc | Dentist | 13422 Newport Ave, E, Tustin, CA 92780-3746 | 2015-06-05 |
| 1396999280 | Tustin Longevity Center | Family Medicine | 13422 Newport Ave, Suite L, Tustin, CA 92780-3746 | 2008-11-05 |
| 1528225067 | Sandi E Silva | Dentist | 13422 Newport Ave, Suite A, Tustin, CA 92780-3746 | 2008-05-21 |
| 1447271093 | Cyndee Ayson Mitchell | Obstetrics & Gynecology | 13422 Newport Ave, Suite L, Tustin, CA 92780-3746 | 2006-07-21 |
| 1689601973 | Janel Larson Meric | Obstetrics & Gynecology | 13422 Newport Ave, Suite L, Tustin, CA 92780 | 2006-06-26 |
| 1326086703 | Tustin Teleradiology Medical Group Inc. | Radiologic Technologist | 13422 Newport Ave, Suite I, Tustin, CA 92780-3746 | 2006-06-04 |
| 1346288321 | Thomas L Atlas | Radiologic Technologist | 13422 Newport Ave, Suite I, Tustin, CA 92780-3746 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780947 | John Michael Michael | Pharmacist | 14481 Wildeve Ln, Tustin, CA 92780 | 2020-02-03 |
| 1609426881 | Abigail Joy Maqsood | Behavior Technician | 290a S Prospect Ave, Tustin, CA 92780 | 2019-09-19 |
| 1255814711 | Hyun Dong Lee | Chiropractor | 14591 Newport Ave Ste 106, Tustin, CA 92780 | 2018-09-11 |
| 1346733573 | Elizabeth Kim Nguyen Dds Inc | Clinic/Center | 14521 Red Hill Ave, Tustin, CA 92780 | 2018-06-12 |
| 1255829503 | Hw Physical Therapy | Physical Therapist | 250 El Camino Real Ste 100, Tustin, CA 92780 | 2018-04-23 |
| 1912494352 | Gary Wayne Mcbeath | Marriage & Family Therapist | 17821 E 17th Street, Suite # 260, Tustin, CA 92780 | 2018-04-20 |
| 1104334598 | Catherine Bogues | Speech-Language Pathologist | 661 West 1st Street, Suite E, Tustin, CA 92780 | 2018-01-19 |
| 1972019941 | Lighthouse Behavioral Solutions | Behavioral Analyst | 18002 Irvine Blvd., Suite 202c, Tustin, CA 92780 | 2017-12-28 |
| 1629597299 | Lifecab, LLC | Non-emergency Medical Transport (VAN) | 13732 Newport Ave, Suite #1, Tustin, CA 92780 | 2017-09-14 |
| 1437606555 | Tustin Speech Therapy, Inc. | Speech-Language Pathologist | 661 West First Street, Suite E, Tustin, CA 92780 | 2016-09-07 |
| Find all providers in zip 92780 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902166085 | Beacon Medical Management LLC | General Practice | 13372 Newport Ave Ste I, Tustin, CA 92780-3426 | 2012-05-22 |
| 1629267687 | W. Robert Crumpton, M.d. | General Practice | 14642 Newport Ave Ste 200, Tustin, CA 92780-6058 | 2007-10-16 |
| 1801099445 | Robert Earl Dreibelbis | General Practice | 13420 Newport Ave, Suite # D, Tustin, CA 92780 | 2007-06-11 |
| 1407879646 | Jamshid Maleki | General Practice | 13152 Newport Ave, Suite B, Tustin, CA 92780-3469 | 2006-07-26 |
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| 1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
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| 1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
| 1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
| 1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
| 1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
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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.