Elena Titova, CPT-1, EKG TECH

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CPT59788 Issued in CA

Practice address

34050 County Line Rd
Yucaipa, CA 92399-2602

Phone

(909) 795-4259

Fax

(909) 795-4259

NPI assigned

Sep 26, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1366879041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11284 DEMARET DR",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922237430",
            "telephone_number": "909-831-1083",
            "fax_number": "909-795-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34050 COUNTY LINE RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992602",
            "telephone_number": "909-795-4259",
            "fax_number": "909-795-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITOVA",
        "first_name": "ELENA",
        "credential": "CPT-1, EKG TECH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT59788",
            "primary": true
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Love Thompson
• Salan So Thong, PHARMD.
• Thrifty Payless Inc
• Thrifty Payless Inc
• Philip Ian Rodriguez Tiamzon, OD
• Tonda D Bradshaw D O a Professional Corporation
• Lizbeth G Torres
• Michelle Angelena Torres, PPS
• Sabrina Torres
• Sherwood B. Totton, M. DIV.

• Phlebotomy Technician in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.