CHRISTA MARIE ELLSWORTH (NPI# 1679133920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679133920 |
| Entity Type | Individual |
| Full Name | CHRISTA MARIE ELLSWORTH |
| Credential | PHARMD |
| Practice Address |
200 W Center Street Promenade Anaheim CA 92805-3960 |
| Mailing Address |
1919 Greenleaf St Santa Ana CA 92706-2529 |
| Practice Telephone | 3303541642 |
| Mailing Telephone | 3303541642 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 70444 | CA | Pharmacy Service Providers |
| Street Address |
200 W CENTER STREET PROMENADE |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-3960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508230244 | Sandra Dawn Kazim | Nurse Practitioner | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2015-11-18 |
| 1699396655 | St. Joseph Health System Home Care Services | Pharmacy | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2020-04-30 |
| 1639715709 | St Joseph Heritage Healthcare | Family Medicine | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2019-11-22 |
| 1245777465 | St. Jude Hospital Yorba Linda | Non-Pharmacy Dispensing Site | 200 W Center Street Promenade, Suite 100b, Anaheim, CA 92805-3960 | 2017-01-25 |
| 1033654736 | St. Joseph Health Personal Care Services | In Home Supportive Care | 200 W Center Street Promenade, Suite 200, Anaheim, CA 92805-3960 | 2017-01-04 |
| 1447615414 | St. Joseph Health System Home Care Services | Home Health | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2015-12-17 |
| 1093189102 | St. Joseph Health Personal Care Services, LLC | Home Health | 200 W Center Street Promenade, Anaheim, CA 92805-3960 | 2015-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502446 | Riana Jessica Abadilla Ramos | Pharmacist | 1850 S. West Street, Anaheim, CA 92802 | 2020-09-10 |
| 1265043988 | Alexander Delgado | Pharmacist | 2114 E North Redwood Dr, Anaheim, CA 92806-2901 | 2020-08-14 |
| 1396376000 | Son Thien Pham | Pharmacist | 2575 E Riles Cir, Anaheim, CA 92806-5610 | 2020-01-31 |
| 1760022503 | Sangyune Gabrielle Lee | Pharmacist | 2570 W Lincoln Ave Apt 5, Anaheim, CA 92801-6403 | 2020-01-09 |
| 1699312421 | Dana Proum | Pharmacist | 1105 E Katella Ave Unit 367, Anaheim, CA 92805-8706 | 2019-11-27 |
| 1699231316 | Vince Vu | Pharmacist | 9841 Cerritos Ave, Anaheim, CA 92804-5907 | 2019-02-18 |
| 1427526359 | Ensi Bolouhari | Pharmacist | 743 S Thrasher Way, Anaheim, CA 92807-4432 | 2018-11-08 |
| 1669940789 | Leonel Garcia Jr. | Pharmacist | 400 S Beechtree Ct, Anaheim, CA 92808-1642 | 2018-11-06 |
| 1417430539 | Michelle H.t Nguyen | Pharmacist | 421 N Brookhurst St Ste 123, Anaheim, CA 92801-5618 | 2018-09-13 |
| 1073093811 | Mallory Torres Dichoso | Pharmacist | 1913 W Embassy Ave, Anaheim, CA 92804-2521 | 2018-08-21 |
| Find all providers in ANAHEIM | ||||
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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.