Christina L Ellis, CERTIFIED MEDIATOR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CERTIFIED MEDIATOR Issued in CA

Practice address

700 South Park Ave
Suite 780
Pomona, CA 91766-1546

Phone

(951) 245-7036

NPI assigned

Feb 28, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1366611857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1381",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925951381",
            "telephone_number": "877-355-4737",
            "fax_number": "951-245-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SOUTH PARK AVE",
            "address_2": "SUITE 780",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917661546",
            "telephone_number": "951-245-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "credential": "CERTIFIED MEDIATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "CERTIFIED MEDIATOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Medical Supply, Inc.
• Elite Travel LLC
• Natalie Elizalde
• Elkhiar Chiropractic Centers, Inc., a Chiropractic Corporation
• Whitney Elliott
• Deysha Nakeyta Ellis
• Aris Ellorin, DO
• Jeffrey Allan Elo, D.D.S, M.S
• Emma Christine Elsasser
• Mohamed Elsharkawy, MD

• Professional Counselor in Pomona, CA
• Providers in Pomona, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.