Elite Medical Group PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ELITE MEDICAL GROUP PC

Practice address

2083 Compton Ave Ste 202
Corona, CA 92881-3416

Phone

(951) 268-5600

NPI assigned

Apr 10, 2020

Last updated

Apr 10, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ralph Highshaw, MD

Title

Owner

Phone

(828) 719-5658

Specialties & licenses 2

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Hanley, FNP-BC

  • Family Nurse Practitioner
  • Sun City, CA
  • NPI 1659964765
  NPD (past)
• Rebekah Kibbe, NP

  • Family Nurse Practitioner
  • Riverside, CA
  • NPI 1477133320
  NPD (past)
• Madeleine Skousen, NP

  • Family Nurse Practitioner
  • San Francisco, CA
  • NPI 1336738053
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586476800000",
    "number": "1083233902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17748 SKY PARK CIR STE 240",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926144472",
            "telephone_number": "828-719-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 COMPTON AVE STE 202",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813416",
            "telephone_number": "951-268-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 W Eulalia St # 215",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912042849",
            "country_code": "US",
            "telephone_number": "818-254-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 W 190th St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902484933",
            "country_code": "US",
            "telephone_number": "562-583-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2255 Ygnacio Valley Rd Ste W",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945983347",
            "country_code": "US",
            "telephone_number": "925-378-4884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W Kimberly Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928706301",
            "country_code": "US",
            "telephone_number": "714-577-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A",
        "authorized_official_last_name": "HIGHSHAW",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-719-5658",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elevate Health Partners Inc (Sanova Health)
• Carrie Causey Eley, N.P.
• Rafic Elhassanieh
• Eliaa, LLC (A & J Residential Care Facility)
• Elias, Elliott, Lampasi, Fehn, & Harris Adp (Dental Associates of Corona)
• John Edward Elliott, D.D.S.
• Sarah Ellis
• Summer Ellis
• Kraill Ellison
• Maurice James Warren Ellison, DC

• Multi-Specialty Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.