ELLIS NINONUEVO (NPI# 1679022750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679022750 |
| Entity Type | Individual |
| Full Name | ELLIS NINONUEVO |
| Credential | NP |
| Practice Address |
1215 E Chapman Ave Orange CA 92866-2237 |
| Mailing Address |
3942 Acacia St Irvine CA 92606-2628 |
| Practice Telephone | 7145836431 |
| Practice Fax Number | 7149127432 |
| Mailing Telephone | 9498610316 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN 401698 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1215 E CHAPMAN AVE |
| City | ORANGE |
| State | CA |
| Zip Code | 92866-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750467346 | Joan Stoykovich | Physician Assistant | 1215 E Chapman Ave, Suite 4, Orange, CA 92866-2237 | 2006-10-27 |
| 1578108908 | Aarti Kumari | Physician Assistant | 1215 E Chapman Ave, Orange, CA 92866-2237 | 2019-11-08 |
| 1467944702 | Poupak Jaberi Zadeh | Dentist | 1215 E Chapman Ave, Orange, CA 92866-2237 | 2018-06-02 |
| 1679006092 | Margaret Kim | Registered Nurse | 1215 E Chapman Ave, Suite 10, Orange, CA 92866-2237 | 2017-04-04 |
| 1568821072 | Voxel Imaging Inc | Clinic/Center | 1215 E Chapman Ave, Orange, CA 92866-2237 | 2016-02-12 |
| 1457724023 | Lestonnac Free Clinic | Clinic/Center | 1215 E Chapman Ave, Orange, CA 92866-2237 | 2015-11-04 |
| 1891170890 | Jane Fang | Pediatrics | 1215 E Chapman Ave, Orange, CA 92866-2237 | 2015-07-21 |
| 1588069223 | Jane Elizabeth Merie Fuller | Registered Nurse | 1215 E Chapman Ave, Orange, CA 92866-2237 | 2014-10-23 |
| 1205238003 | Ruth Burke | Registered Nurse | 1215 E Chapman Ave, Suite 10, Orange, CA 92866-2237 | 2014-09-23 |
| 1285051227 | Cara Kristine Keys | Registered Nurse | 1215 E Chapman Ave, Orange, CA 92866-2237 | 2014-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043382666 | Tina Abolhassani Bloomer | Nurse Practitioner | 4010 E Chapman Ave, Suite C, Orange, CA 92869-3990 | 2006-11-15 |
| 1922008556 | Wendi Rosenblatt | Nurse Practitioner | 700 South Tustin Street, Orange, CA 92866 | 2005-07-26 |
| 1235642281 | Mary Katherine Harmon | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868 | 2017-11-13 |
| 1073025714 | Elham Saddady | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868 | 2017-11-03 |
| 1396269403 | Allison J Alix | Nurse Practitioner | 1100 W Stewart Dr, Orange, CA 92868-3849 | 2017-07-31 |
| 1871942219 | Onna Whiteman | Nurse Practitioner | 805 W La Veta Ave, 101, Orange, CA 92868-3901 | 2016-06-07 |
| 1871972539 | Sarah Rand | Nurse Practitioner | 805 W La Veta Ave Ste 101, Orange, CA 92868-3928 | 2015-05-27 |
| 1467856518 | Dellia Montgomery | Nurse Practitioner | 805 W La Veta Ave Ste 107, Orange, CA 92868-3928 | 2014-10-17 |
| 1467686972 | Amy Tu | Nurse Practitioner | 700 S Tustin St, Orange, CA 92866-3425 | 2009-05-12 |
| 1053438028 | Edith Caroline Smith | Nurse Practitioner | 101 The City Dr S, Bldg. 56, Rt. 81, # 246b, Orange, CA 92868-3201 | 2007-03-23 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on ELLIS NINONUEVO.
| 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.