| Dr Rita Renee Ellithorpe, MD | |
|
13422 Newport Ave, Suite L, Tustin, CA 92780-3746 | |
| (714) 544-1521 | |
| (714) 544-1904 |
| Full Name | Dr Rita Renee Ellithorpe |
|---|---|
| Gender | Female |
| Speciality | General Practice |
| Experience | 43 Years |
| Location | 13422 Newport Ave, Tustin, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306848809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G83575 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hoag Memorial Hospital Presbyterian | Newport beach, CA | Hospital |
| Mission Hospital Regional Med Center | Mission viejo, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rita R Ellithorpe Md Inc | 8729353065 | 5 |
| Entity Name | Rita R Ellithorpe Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619403854 PECOS PAC ID: 8729353065 Enrollment ID: O20171012000577 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rita Renee Ellithorpe, MD 13422 Newport Ave, Suite L, Tustin, CA 92780-3746 Ph: (714) 544-1521 | Dr Rita Renee Ellithorpe, MD 13422 Newport Ave, Suite L, Tustin, CA 92780-3746 Ph: (714) 544-1521 |
Jamshid Maleki, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 13152 Newport Ave, Suite B, Tustin, CA 92780 Phone: 714-263-8600 Fax: 714-263-8601 | |
Dr. Erkan Ereren, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 13031 Newport Ave. Suite 116, # 605, Tustin, CA 92780 Phone: 714-333-5278 | |
Thanh Gia Phung, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 | |
Dr. Azita Robati Hassas, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891 |