AZADEH ELLSWORTH PMHNP
NPI 1730747239
Nurse Practitioner - Psychiatric/Mental Health in Ventura, CA
About Azadeh Ellsworth Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AZADEH ELLSWORTH PMHNP (NPI 1730747239) is an individual psychiatric/mental health provider in Ventura, California, licensed in California (95011907) and active in the NPI registry since May 2019. She has opted out of Medicare through June 16, 2028 and maintains a secondary practice location in Camarillo.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Azadeh Ellsworth Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 16, 2026 through June 16, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VENTURA, CA 93003
VENTURA, CA 93003
VENTURA, CA 93003
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 Azadeh Ellsworth's NPI number?
The NPI number for Azadeh Ellsworth is 1730747239. It was assigned to this individual provider in the NPPES registry on May 31, 2019.
Where is Azadeh Ellsworth located?
Azadeh Ellsworth practices at 1752 S Victoria Ave Ste 250, Ventura, CA 93003. The listed phone number is (805) 650-3880.
What is Azadeh Ellsworth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Azadeh Ellsworth enrolled in Medicare?
No. Azadeh Ellsworth has opted out of Medicare through June 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Azadeh Ellsworth was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Azadeh Ellsworth, PMHNP · NPI 1730747239
Psychiatric/Mental Health physician in Ventura, California. Individual provider, active in the CMS NPPES registry since May 31, 2019.
## Identity
- **NPI:** 1730747239 (Entity type: Individual)
- **Enumerated:** May 31, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95011907 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1752 S VICTORIA AVE STE 250, Ventura, CA 93003
- **Phone:** (805) 650-3880
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 16, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1730747239) · Data from the CMS NPPES public registry.