Elle Maternal Wellness, Nursing PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ELLE MATERNAL WELLNESS, NURSING PC

Practice address

928 Fort Stockton Dr Ste 213
San Diego, CA 92103-1890

Phone

(858) 766-5645

NPI assigned

Jun 11, 2025

Organization subpart

No

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

Authorized official

Name

Zinnia Amaresh Kidane, NPNPI 1780334110

Title

Ceo

Phone

(858) 766-5645

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zinnia Amaresh Kidane, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1780334110
  NPD Authorized official

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1255226080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 PACIFIC HEIGHTS BLVD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 FORT STOCKTON DR STE 213",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031890",
            "telephone_number": "858-766-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLE MATERNAL WELLNESS, NURSING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "KIDANE",
        "authorized_official_first_name": "ZINNIA",
        "authorized_official_middle_name": "AMARESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-766-5645",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zakaria Elkhodary
• Amy Patricia Elkind, RN
• Jae Elkind
• Jennifer Marie Elkins, LCSW
• Shayna Elkins, FNP
• Daniel Kuroda Elledge, PHD
• Lindsay Elledge
• Ellen Medical Transport
• Rebecca Ann Ellens
• Adam Takeo Ellenthal, DDS, MPH

• Psychiatric/Mental Health Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.