Individual provider Active NPI

Elynita Nagar Arella, FNP-C

  • Family Nurse Practitioner
  • Port Hueneme, CA
National Provider Identifier
1770293276
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95023118 Issued in CA
Practice address
430 Park Ave
Port Hueneme, CA 93041-2553
Phone
(805) 437-3881
Fax
(805) 487-3963
NPI assigned
Nov 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95023118 CA Primary

Addresses

Primary practice location

430 Park Ave
Port Hueneme, CA 93041-2553

Mailing address

430 Park Ave
Port Hueneme, CA 93041-2553
Phone (805) 437-3881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251008002527 CA Practitioner - Nurse Practitioner 2567969249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2626 Foothill Blvd
Suite 203
La Crescenta, CA 91214-3574

7465 W Lake Mead Blvd
Suite 100
Las Vegas, NV 89128-1033

8510 Balboa Blvd
Suite 150
Northridge, CA 91325-3581

Hospital & facility affiliations

  • Trustful Home Health Inc Home health agency, Buena Park, CA, CCN 757475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95023118CAMDSchool Registered Nurse
NP95023118CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caring MD Mobile Group CurrentSince Dec 1, 2025 Accepting new patients
Medstat Inc CurrentSince Dec 31, 2023 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. CurrentSince Aug 11, 2025 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Luis M Blando MD Inc PastSince Nov 27, 2022 Accepting new patients

Locations

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

2626 Foothill Blvd
Ste 203
La Crescenta, CA 91214
Phone (818) 434-8118

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

430 Park Ave
Port Hueneme, CA 93041
Phone (805) 487-3881

Interoperability endpoints

  • Direct secure messaging: elynita.arella.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1770293276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 PARK AVE",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412553",
            "telephone_number": "805-437-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PARK AVE",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412553",
            "telephone_number": "805-437-3881",
            "fax_number": "805-487-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARELLA",
        "first_name": "ELYNITA",
        "middle_name": "NAGAR",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95023118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hueneme, CA

Sources for this page

Verify at the official NPI Registry.