JUSTIN TODD ELLISON (NPI# 1558821769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558821769 |
| Entity Type | Individual |
| Full Name | JUSTIN TODD ELLISON |
| Credential | CRNA |
| Practice Address |
7601 Imperial Hwy Downey CA 90242-3456 |
| Practice Telephone | 5623857162 |
| Mailing Telephone | 5623857162 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 95001077 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508292889 | Justin M Ellison | Physician Assistant | 11307 N Linden Rd Ste B, Clio, MI 48420-8501 | 2013-09-18 |
| 1245688928 | Justin Michael Ellison | Registered Nurse | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2016-06-02 |
| 1285970657 | Justin Christian Ellison | Pharmacist | 101 Nicolls Rd, Stony Brook, NY 11794-7007 | 2012-12-12 |
| Street Address |
7601 IMPERIAL HWY |
| City | DOWNEY |
| State | CA |
| Zip Code | 90242-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043257082 | Mark James Borigini | Internal Medicine | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2006-05-31 |
| 1306459151 | Kristin Anderson | Dentist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-08-30 |
| 1609489277 | Jeffrey Fuqua Kerbel | Physical Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-08-24 |
| 1023636354 | Jung Won Lee | Occupational Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-07-13 |
| 1972121358 | Samuel Quinn Kaplan | Physical Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-07-11 |
| 1538782362 | Deanida Wray Andrews | Dietitian, Registered | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-05-27 |
| 1316574445 | Amy Nicole Ganser | Speech-Language Pathologist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-03-26 |
| 1750917746 | Hannah Kate Rhodes | Speech-Language Pathologist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-03-21 |
| 1992338933 | Samantha Smith | Dietitian, Registered | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-02-18 |
| 1780215723 | Lydia Ellen Van Hoff | Physical Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117182 | Andy Vo Osborne | Respiratory Therapist, Registered | 9333 E Imperial High Way, Downey, CA 90242 | 2020-09-04 |
| 1639783459 | Enrique Robles Soto | Behavior Technician | 12432 Bellflower Blvd., Downey, CA 90242 | 2020-08-31 |
| 1043842461 | Paul Yokoyama | Pharmacist | 9542 Dalen Street, Downey, CA 90242 | 2020-02-05 |
| 1639727837 | Demontay Deon High | Behavior Technician | 12342 Bellflower Blvd, Downey, CA 90242 | 2019-08-30 |
| 1467922328 | Nurisha Ficklin | Behavior Technician | 12342 Bellflower Blvd., Downey, CA 90242 | 2018-12-04 |
| 1235622358 | Marlene Castaneda | Occupational Therapist | 12555 Lakewood Blvd Ste D, Downey, CA 90242 | 2018-06-13 |
| 1942727383 | Arhtur Lozano | Non-emergency Medical Transport (VAN) | 13109 Woodruff Ave, Downey, CA 90242 | 2017-08-26 |
| 1336665983 | Laura E Del Val | Nurse Practitioner | 12207 Rives Ave, Downey, CA 90242 | 2017-08-16 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
| 1265955504 | Julie Helgren | Recreation Therapist | 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 | 2017-07-19 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134749468 | Lassen, Crna, Nursing Corporation | Nurse Anesthetist, Certified Registered | 8555 Florence Ave, Downey, CA 90240-4014 | 2020-04-16 |
| 1639703358 | Park Anesthesia A Nursing Corporation | Nurse Anesthetist, Certified Registered | 8555 Florence Ave, Downey, CA 90240-4014 | 2020-03-03 |
| 1013550383 | Nicholas Moore | Nurse Anesthetist, Certified Registered | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2019-10-19 |
| 1740821651 | Natalie Jones | Nurse Anesthetist, Certified Registered | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2019-10-01 |
| 1386293363 | Chelsea Palacios | Nurse Anesthetist, Certified Registered | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2019-09-11 |
| 1538672969 | Kimberly Ann Humbert | Nurse Anesthetist, Certified Registered | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2017-11-07 |
| 1578075529 | Jane Warii Mwenja | Nurse Anesthetist, Certified Registered | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2017-10-31 |
| 1609322403 | Tuyen C. Lee | Nurse Anesthetist, Certified Registered | 9333 Imperial Hwy, Downey, CA 90242 | 2016-08-31 |
| 1386943736 | Karen Levine Certified Registered Nursing Anesthetist, P.C. | Nurse Anesthetist, Certified Registered | 8555 Florence Ave, Downey, CA 90240-4014 | 2011-03-24 |
| 1316279938 | Ronald Rea Tolentino Atienza | Nurse Anesthetist, Certified Registered | 9333 Imperial Hwy, Downey, CA 90242-2812 | 2010-02-06 |
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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.