TAMARA ELLSTROM LVN
NPI 1205721065
Licensed Vocational Nurse in San Luis Obispo, CA

Active since June 11, 2025
784 HIGH ST, SAN LUIS OBISPO, CA 93401(805) 540-6500 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tamara Ellstrom Lvn NPPES

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

TAMARA ELLSTROM LVN (NPI 1205721065) is an individual licensed vocational nurse in San Luis Obispo, California, licensed in California (215041) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1205721065
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameTAMARA ELLSTROMCredential: LVN
Location Address784 HIGH STSan Luis Obispo, CA 93401-5243
Mailing AddressPo Box 15408San Luis Obispo, CA 93406-5408 · (805) 540-6500
Sole ProprietorNo
Enumeration DateJune 11, 2025
NPPES CertifiedJune 11, 2025
NPI 1205721065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · 215041
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
784 HIGH ST, San Luis Obispo, CA 93401

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.

Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
Health Educator
784 HIGH ST
SAN LUIS OBISPO, CA 93401
Rehabilitation Practitioner
784 HIGH ST
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
Counselor (Mental Health)
784 HIGH ST
SAN LUIS OBISPO, CA 93401
Case Manager/Care Coordinator
784 HIGH ST
SAN LUIS OBISPO, CA 93401
Social Worker (Clinical)
784 HIGH ST
SAN LUIS OBISPO, CA 93401

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 Tamara Ellstrom's NPI number?

The NPI number for Tamara Ellstrom is 1205721065. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Where is Tamara Ellstrom located?

Tamara Ellstrom practices at 784 High St, San Luis Obispo, CA 93401. The listed phone number is (805) 540-6500.

What is Tamara Ellstrom's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Tamara Ellstrom was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.