Individual provider Active NPI

Arleen Elloway, NP-C

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1508132820
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95011100 Issued in CA
Practice address
3675 Ruffin Rd Ste 330
San Diego, CA 92123-1870
Phone
(858) 289-7857
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP4358 AZ
Nurse Practitioner 363L00000X NP500015513 DC
Nurse Practitioner 363L00000X 95011100 CA Primary

Addresses

Primary practice location

3675 Ruffin Rd Ste 330
San Diego, CA 92123-1870

Mailing address

3675 Ruffin Rd Ste 330
San Diego, CA 92123-1870
Phone (602) 505-1924

Other practice location 1

4990 Williams Ave
LA Mesa, CA 91942-7409
Phone (619) 668-4200

Other names 1

  • Arleen Stienstra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230002259 DC Practitioner - Nurse Practitioner 1153556451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4358AZMDNurse Practitioner
95011100CAMDNurse Practitioner
NP500015513DCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. CurrentSince Oct 17, 2024 Accepting new patients
Community Bridges, Inc. PastSince Jul 17, 2022 Accepting new patients
Community Bridges, Inc. PastSince Jun 21, 2022 Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Ah Addiction Care PC Past Accepting new patients
Little Colorado Behavioral Health Center Inc. Past Accepting new patients

Locations

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

35 K St NE
Washington, DC 20002
Phone (202) 442-4202

Interoperability endpoints

  • Direct secure messaging: arleen.ellowayfnp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1508132820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 RUFFIN RD STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231870",
            "telephone_number": "602-505-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 RUFFIN RD STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231870",
            "telephone_number": "858-289-7857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4990 Williams Ave",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919427409",
            "country_code": "US",
            "telephone_number": "619-668-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLOWAY",
        "first_name": "ARLEEN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP4358",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP500015513",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARLEEN",
            "last_name": "STIENSTRA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.