1. Home
  2. Directory
  3. California
  4. Escondido
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. ELIJAH RYAN PHOENIX PMHNP
NPI 1518778976
Nurse Practitioner - Psychiatric/Mental Health in Escondido, CA

Active since January 15, 2025
215 S HICKORY ST STE 114, ESCONDIDO, CA 92025(866) 905-9410 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Elijah Ryan Phoenix Pmhnp NPPES

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

MR. ELIJAH RYAN PHOENIX PMHNP (NPI 1518778976) is an individual psychiatric/mental health provider in Escondido, California, licensed in California (95032063) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1518778976
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ELIJAH RYAN PHOENIXCredential: PMHNP
Location Address215 S HICKORY ST STE 114Escondido, CA 92025-4360
Mailing Address9951 Holder St Apt 49Cypress, CA 90630-4009 · (618) 919-0972
Phone(866) 905-9410
Sole ProprietorNo
Enumeration DateJanuary 15, 2025
Last NPPES UpdateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
✔ NPI 1518778976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95032063
Also ListedRegistered NurseTaxonomy 163W00000X · License 95232470 (CA)
215 S HICKORY ST STE 114, Escondido, CA 92025
Open in Google Maps ↗

Other Providers at the Same Location NPPES 19

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

LAURA A CRONIN PA
Physician Assistant
215 S HICKORY ST STE 114
ESCONDIDO, CA 92025
San Diego County (760) 704-9429
RAFAEL I RAMOS PA-C
Physician Assistant
215 S HICKORY ST STE 114
ESCONDIDO, CA 92025
San Diego County (760) 454-7844
CHRISTIAN R SMALL MD A PROFESSIONAL CORPORATION
Clinic/Center (Multi-Specialty)
215 S HICKORY ST STE 114
ESCONDIDO, CA 92025
San Diego County (760) 704-9429
SEAHYUN PARK AGPCNP-BC
Nurse Practitioner
215 S HICKORY ST STE 114
ESCONDIDO, CA 92025
San Diego County (248) 974-0093
MS. CHERYL ARREOLA FLORES FNP-C
Nurse Practitioner
215 S HICKORY ST STE 114
ESCONDIDO, CA 92025
San Diego County (760) 704-9429
MARCIE SANTILLAN FNP, DNP
Nurse Practitioner (Family)
215 S HICKORY ST STE 114
ESCONDIDO, CA 92025
San Diego County (866) 905-9410
JOSEPH MICHAEL MARTIN
Nurse Practitioner (Psychiatric/Mental Health)
215 S HICKORY ST STE 114
ESCONDIDO, CA 92025
San Diego County (760) 690-6184
CHARLENE LACAMBRA
Nurse Practitioner (Psychiatric/Mental Health)
215 S HICKORY ST STE 114
ESCONDIDO, CA 92025
San Diego County (866) 905-9410

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 Elijah Phoenix's NPI number?

The NPI number for Elijah Phoenix is 1518778976. It was assigned to this individual provider in the NPPES registry on January 15, 2025.

Where is Elijah Phoenix located?

Elijah Phoenix practices at 215 S Hickory St Ste 114, Escondido, CA 92025. The listed phone number is (866) 905-9410.

What is Elijah Phoenix's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Elijah Phoenix was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.