MS. DEBORAH R ELLIS


Address: 11201 Benton St, Loma Linda, CA 92357-1000
Phone: 9095836189

MS. DEBORAH R ELLIS (NPI# 1427098441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427098441
Entity Type Individual
Full Name MS. DEBORAH R ELLIS
Credential RN NP
Practice Address 11201 Benton St
Loma Linda
CA 92357-1000
Mailing Address Po Box 609001
San Diego
CA 92160-9001
Practice Telephone 9095836189
Mailing Telephone 6195284600
Mailing Fax Number 6195284625
Enumeration Date 2006-06-07
Last Update Date 2010-07-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN519425 CA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
NP13079 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers DEBORAH ELLIS

NPI Name Taxonomy Address Enumeration
1760830038 Deborah Ellis Developmental Therapist 301 West Calhoun, Magnolia, ARKANSAS 71753 2016-05-27
1922319961 Deborah Baron Ellis Social Worker 157 East 86th Street, Neighborhood Coalition for Shelter, New York, NY 10028 2010-06-24
1215974704 Deborah A Ellis Psychologist Upc Children's Hospital, 3901 Beaubien 4th Floor Carls Bldg, Detroit, MI 48201 2006-06-01
1275839979 Deborah A Ellis Health Educator 301 Great Teays Blvd Ste 6, Scott Depot, WV 25560-9552 2011-01-28
1285893529 Deborah T Ellis Speech-Language Pathologist 2525 Centerville Rd, Dallas, TX 75228-2634 2008-06-02
1376746883 Deborah Marie Ellis Registered Nurse 1225 E Fort Union Blvd, Ste 215, Cottonwood Heights, UT 84047-1889 2007-06-11
1134342405 Deborah Lynne Ellis Counselor 1630 E Shaw Ave, Ste 150, Fresno, CA 93710-8105 2007-04-11
1265592869 Deborah W Ellis Nurse Anesthetist, Certified Registered 801 7th Ave, Fort Worth, TX 76104-2733 2006-12-12
1740292390 Deborah S Ellis Social Worker 1130 Ten Rod Rd, Suite D-104, North Kingstown, RI 02852-4161 2006-08-12

Office Location

Street Address 11201 BENTON ST
City LOMA LINDA
State CA
Zip Code 92357-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841290558 Russell Evan Hoxie Jr. Internal Medicine 11201 Benton St, Loma Linda, CA 92357-1000 2005-07-22
1104435643 Megan Satre Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-07-30
1972111862 Aileen Nati Ludesirishoti Pharmacist 11201 Benton St, Loma Linda, CA 92357-1000 2020-07-17
1649894551 Bryan Lamont Brewer Social Worker 11201 Benton St, Loma Linda, CA 92357-1000 2020-06-05
1518580497 Nicole Kaye Whittle Audiologist 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-26
1629690375 Kevin Alan Cox Student in an Organized Health Care Education/Training Program 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-15
1033731443 Joni Lynn Stanton Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-05-08
1134748536 Abednego Tamba Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-04-15
1447885884 Zachary Michael Cruz Registered Nurse 11201 Benton St, Loma Linda, CA 92357-1000 2020-03-05
1972141695 Tanya Lengvilas Pharmacist 11201 Benton St, Loma Linda, CA 92357-1000 2019-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679916027 Nicole Kristine Shah-ghassemzadeh Internal Medicine Jerry L. Pettis Memorial Veterans Hospital - Gastroente, 11201 Benton Street, Loma Linda, CA 92357 2013-04-16
1760628598 Taranjit Natt Internal Medicine 11201 Benton St # 111-om, Loma Linda, CA 92357 2008-12-29
1548355076 Annette A Boyd -hampton Nurse Practitioner 11201 Benton St. -111g, Loma Linda, CA 92357 2006-10-03
1396830766 Maudie Cantrell Foy Nurse Practitioner 11201 Benton St. (11cp), Loma Linda, CA 92357 2006-10-03
1427154715 Kenneth Wong Pharmacist 11201 Benton St. (119), Loma Linda, CA 92357 2006-09-15
1801909577 Paul Lindberg Orthotist 11201 Benton St./121, Loma Linda, CA 92357 2006-08-16
1992728703 Harry Chen Pharmacist 11201 Benton Street, Va Loma Linda Healthcare System (119), Loma Linda, CA 92357 2006-07-25
1699222661 Nathanial Benjaman Hawkins Psychologist 11201 Benton Street, Bhost 116a, Loma Linda, CA 92357 2016-09-07
1063877959 Irene Thung Pathology 11201 Benton Street, Dept. of Pathology (113), Loma Linda, CA 92357 2015-12-21
1033553375 Brian Chau Physical Medicine & Rehabilitation 11201 Benton Street, Department of Pm&r (mail Code 117), Loma Linda, CA 92357 2013-04-17
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376936476 Liberty Macias Nurse Practitioner 26070 Lugo Dr, Loma Linda, CA 92354-6507 2015-03-13
1750835013 Loma Linda Psychiatric Medical Group Nurse Practitioner 26070 Lugo Dr, Loma Linda, CA 92354-6507 2016-08-04
1396114724 Access Health Care Nurse Practitioner 26070 Lugo Dr, Loma Linda, CA 92354-6507 2015-09-16
1063532018 Robin Gayle Butler Nurse Practitioner 11201 Benton St, Loma Linda, CA 92357-1000 2007-03-30
1659483147 Heidi M. Monroy Nurse Practitioner 11201 Benton St, Loma Linda, CA 92357-1000 2006-08-31

Providers in the same taxonomy and state

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1043827140 April Lopez Ortiz Nurse Practitioner 500 W Ashland Ct, Visalia, CA 93277-6609 2020-09-23
1477167666 David Joseph Russell Nurse Practitioner 17846 Glenwood Rd, Manteca, CA 95336-9521 2020-09-03
1194339382 Albert Liu Nurse Practitioner 43559 Southerland Way, Fremont, CA 94539-5931 2020-09-03
1407469554 Andre Alexandrian Nurse Practitioner 1606 Winona Ave, Burbank, CA 91504-2823 2020-08-28
1790398238 Heather Richardson Nurse Practitioner 112 S Park St Ste 1, San Francisco, CA 94107-1809 2020-08-25
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Competitor

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City LOMA LINDA
Zip Code 92357

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Dataset Information

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.

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