KEITH ROMALIS ELLISON (NPI# 1568823318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568823318 |
| Entity Type | Individual |
| Full Name | KEITH ROMALIS ELLISON |
| Credential | MA, ATC, CES |
| Practice Address |
One Lmu Drive Gersten Pavilion - Athletic Training Room Los Angeles CA 90045 |
| Practice Telephone | 4247894071 |
| Practice Fax Number | 3103384401 |
| Mailing Telephone | 4247894071 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720247414 | Keith Taylor Ellison | Orthopaedic Surgery | 50 Hillcrest Medical Blvd Ste 303, Waco, TX 76712-8955 | 2008-06-06 |
| Street Address |
ONE LMU DRIVE GERSTEN PAVILION - ATHLETIC TRAINING ROOM |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1164887048 | University Foot & Ankle Institute Podiactric Surgical Center | Podiatrist | 5230 Pacific Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2015-12-21 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629612403 | Rosalinda Sanchez | Specialist/Technologist | 2795 W 8th St Apt 108, Los Angeles, CA 90005-1200 | 2019-11-04 |
| 1497223184 | Rafael Antonio Alvarado | Specialist/Technologist | 1246 Sanborn Ave, Los Angeles, CA 90029-2240 | 2018-11-11 |
| 1598254096 | Oscar F Avila | Specialist/Technologist | 345 S Alexandria Ave Apt 216, Los Angeles, CA 90020-2670 | 2018-05-09 |
| 1659869097 | Alec Carmona | Specialist/Technologist | 4618 Townsend Ave, Los Angeles, CA 90041-2861 | 2018-04-30 |
| 1568964369 | Tracy Elizabeth Ayers | Specialist/Technologist | 11435 Venice Blvd, Los Angeles, CA 90066-4028 | 2018-03-07 |
| 1346742947 | Oscar Rinon Jr. | Specialist/Technologist | 2131 John Wooden Center, Los Angeles, CA 90095 | 2018-02-28 |
| 1477053957 | Michael Steven Rivera | Specialist/Technologist | 2642 James M Wood Blvd, Los Angeles, CA 90006-1706 | 2018-02-20 |
| 1801303110 | Alexander Calderon | Specialist/Technologist | 700 North Faring Road, Los Angeles, CA 90077-3525 | 2018-01-08 |
| 1265958847 | Matthew Lee | Specialist/Technologist | 950 Blaine St, Los Angeles, CA 90015-1220 | 2017-08-16 |
| 1023530037 | Smadar Bezalel | Specialist/Technologist | 15800 Zeldins Way, Los Angeles, CA 90049-6861 | 2017-07-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
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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.