Elite Medical Providers

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELITE MEDICAL PROVIDERS

Practice address

28975 Old Town Front St Ste 200
Temecula, CA 92590-2863

Phone

(951) 719-3111

Fax

(951) 719-3111

NPI assigned

Jun 20, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yvonne M Lopez

Title

Manager

Phone

(951) 719-3111

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1841710092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 ROSEMEAD BLVD STE 200",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602032",
            "telephone_number": "951-719-3111",
            "fax_number": "951-719-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28975 OLD TOWN FRONT ST STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902863",
            "telephone_number": "951-719-3111",
            "fax_number": "951-719-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL PROVIDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-719-3111"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marin Elias, MD
• Youssef Elias, MD, PHD
• Elite Academic Academy - Lucerne
• Elite Academic Academy - Mountain Empire
• Elite Homecare Collective (SYNERGY HomeCare of Temecula)
• Elite Senior Care LLC
• Caydence Eller
• Victoria Ellickson
• Bailey Lynn Elliott
• Shannon Elliott

• Internal Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.