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DR. KATHLEEN ELOISE ELLSTROM PHD, RN, APRN,BC
NPI 1023023728
Clinical Nurse Specialist - Medical-Surgical in Loma Linda, CA

Active since July 30, 2006
11201 BENTON ST, 111P, LOMA LINDA, CA 92357(909) 583-6095(909) 777-3214 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathleen Eloise Ellstrom Phd, Rn, Aprn,bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLEEN ELOISE ELLSTROM PHD, RN, APRN,BC (NPI 1023023728) is an individual medical-surgical provider in Loma Linda, California, licensed in California (539) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1023023728
Entity TypeIndividualFemale
Primary Taxonomy364SM0705X
Provider Legal NameDR. KATHLEEN ELOISE ELLSTROMCredential: PHD, RN, APRN,BC
Location Address11201 BENTON ST, 111PLoma Linda, CA 92357-1000
Mailing Address22595 Cardinal StGrand Terrace, CA 92313-5732 · (909) 783-0594 · Fax (909) 783-6714
Phone(909) 583-6095
Fax(909) 777-3214
Sole ProprietorNo
Enumeration DateJuly 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1023023728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Medical-SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SM0705X
License✔ Licensed in CA · 539
11201 BENTON ST, Loma Linda, CA 92357
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.
Radiology (Diagnostic Radiology)
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
JUNGMI LEE LCSW
Social Worker (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PETRU PAPACOSTEA
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY J DALLMEIER RRT
Respiratory Therapist, Registered (Pulmonary Diagnostics)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY BEAVER LSW
Counselor (Mental Health)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 674-2794
DR. KRYSTAL GREGG PSYD
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
HOLLY CORNEJO FNP-C
Nurse Practitioner (Family)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
MELISSA SOLOMON-JACKSON
Registered Nurse (Emergency)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 805-7084

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Ellstrom's NPI number?

The NPI number for Kathleen Ellstrom is 1023023728. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Kathleen Ellstrom located?

Kathleen Ellstrom practices at 11201 Benton St 111P, Loma Linda, CA 92357. The listed phone number is (909) 583-6095.

What is Kathleen Ellstrom's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Medical-Surgical, with taxonomy code 364SM0705X.

When was this NPI record last updated?

The NPPES record for Kathleen Ellstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.