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RITA R ELLITHORPE MD, INC
NPI 1619403854
Prevention Professional in Santa Ana, CA

Active since May 09, 2017
825 PARKCENTER DR STE 100, SANTA ANA, CA 92705(714) 544-1521(714) 544-1904 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2026, May 10, 2017 (2 updates tracked since 2017).

About Rita R Ellithorpe Md, Inc NPPES

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

RITA R ELLITHORPE MD, INC (NPI 1619403854), doing business as Tustin Longevity Center, is a healthcare organization registered as a prevention professional in Santa Ana, California and active in the NPI registry since May 2017. The organization lists Talon Ellithorpe, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1619403854
Entity TypeOrganization
Primary Taxonomy405300000X
Legal Business NameRITA R ELLITHORPE MD, INC
Location Address825 PARKCENTER DR STE 100Santa Ana, CA 92705-3524
Mailing Address825 Parkcenter Dr Ste 100Santa Ana, CA 92705-3524 · (714) 544-1521 · Fax (888) 415-3257
Phone(714) 544-1521
Fax(714) 544-1904
Organization SubpartNo
Authorized OfficialTalon EllithorpePractice Manager · (714) 805-6173
Enumeration DateMay 9, 2017
Last NPPES UpdateAugust 4, 20262 updates tracked since enumeration
NPPES CertifiedAugust 4, 2026
✔ NPI 1619403854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in CA · G83575
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
825 PARKCENTER DR STE 100, Santa Ana, CA 92705
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Other Names 1

Doing Business AsTustin Longevity Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rita R Ellithorpe Md, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Rita R Ellithorpe MD, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Cyndee Mitchell, M.D.
Obstetrics/Gynecology
NPI 1447271093
825 PARKCENTER DR STE 100
Santa Ana, CA 92705
(714) 544-1521
✔ PECOS✔ Accepts MedicareSame address
Rita Ellithorpe, M.D.
General Practice
NPI 1306848809
13422 NEWPORT AVE SUITE L
Tustin, CA 92780
(714) 544-1521
✔ PECOS✔ Accepts Medicare1.4 mi
Deirdre Habermehl, M.D.
Obstetrics/Gynecology
NPI 1023065570
18800 MAIN ST STE 204
Huntington Beach, CA 92648
(949) 548-6376
✔ PECOS10 mi
Demetra Arvanitidis, M.D.
Pediatric Medicine
NPI 1558413765
377 N LIMA ST
Sierra Madre, CA 91024
(626) 355-2013
✔ PECOS31 mi
Amber Cardinalli, D.O.
Internal Medicine
NPI 1912344078
1700 12TH ST STE B
Hood River, OR 97031
(541) 716-5786
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rita R Ellithorpe MD, Inc's NPI number?

The NPI number for Rita R Ellithorpe MD, Inc is 1619403854. It was assigned to this organization in the NPPES registry on May 9, 2017. The provider is doing business as Tustin Longevity Center.

Where is Rita R Ellithorpe MD, Inc located?

Rita R Ellithorpe MD, Inc is located at 825 Parkcenter Dr Ste 100, Santa Ana, CA 92705. The listed phone number is (714) 544-1521.

What is Rita R Ellithorpe MD, Inc's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

Is Rita R Ellithorpe MD, Inc enrolled in Medicare?

Yes. Rita R Ellithorpe MD, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rita R Ellithorpe MD, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Rita R Ellithorpe MD, Inc, in General Practice, Internal Medicine, Obstetrics/Gynecology and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rita R Ellithorpe MD, Inc was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.