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

Active since May 09, 2017
13422 NEWPORT AVE STE L, TUSTIN, CA 92780(714) 544-1521(888) 415-3257 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 Tustin, 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 Address13422 NEWPORT AVE STE LTustin, CA 92780-3746
Mailing Address13422 Newport Ave Ste LTustin, CA 92780-3746 · (714) 544-1521 · Fax (888) 415-3257
Phone(714) 544-1521
Fax(888) 415-3257
Organization SubpartNo
Authorized OfficialTalon EllithorpePractice Manager · (714) 805-6173
Enumeration DateMay 9, 2017
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ 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.
13422 NEWPORT AVE STE L, Tustin, CA 92780
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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

Other Providers at the Same Location NPPES 4

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

PRIYA B PATEL PA-C
Physician Assistant
13422 NEWPORT AVE STE L
TUSTIN, CA 92780
Orange County (714) 544-1521
MS. KELLY LYNN BERARDINI MHA, ATC
Specialist/Technologist (Athletic Trainer)
13422 NEWPORT AVE STE L
TUSTIN, CA 92780
Orange County (714) 544-1521
FADY REZK
Physician Assistant
13422 NEWPORT AVE STE L
TUSTIN, CA 92780
Orange County (714) 544-1521
DR. WARWICK DOUGLAS JOHNSTON III ND
Naturopath
13422 NEWPORT AVE STE L
TUSTIN, CA 92780
Orange County (714) 544-1521

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 13422 Newport Ave Ste L, Tustin, CA 92780. 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.

When was this NPI record last updated?

The NPPES record for Rita R Ellithorpe MD, Inc was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.