Constantine Elisseev

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

6685 Issued in CA

Legal business name

CONSTANTINE ELISSEEV

Practice address

500 California Ave
Santa Monica, CA 90403-3943

Phone

(310) 899-6818

NPI assigned

Mar 19, 2010

Organization subpart

No

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

Authorized official

Name

Constantine Elisseev

Title

Manager

Phone

(310) 899-6818

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269043200000",
    "number": "1205150273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CALIFORNIA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CALIFORNIA AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033943",
            "telephone_number": "310-899-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANTINE ELISSEEV",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-20",
        "status": "A",
        "authorized_official_last_name": "ELISSEEV",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-899-6818"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "6685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynn Shapiro Connolly, M.D.
• Medria Lou Connolly, PH.D.
• Eimy March Connor, PA-C
• Conor Fowler MD, Inc.
• Corina Constantin-Marconi, PH.D.
• Ekaterini Constantine
• Sean Anthony Conte, D.C.
• Nico Conti
• Nathalie Contro, LMFT
• Jill Marisa Conway, LCSW

• Physical Therapy Assistant in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2010; 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.