Elaine Mary Mitchell, CERTIFIED HAIR LOSS

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

8818 La Mesa Blvd
La Mesa, CA 91942-5407

Phone

(619) 302-2404

Fax

(619) 262-6115

NPI assigned

Oct 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Elaine Mary Mitchell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1962913426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 OCEAN VIEW BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92113",
            "telephone_number": "619-302-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8818 LA MESA BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425407",
            "telephone_number": "619-302-2404",
            "fax_number": "619-262-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ELAINE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "CERTIFIED HAIR LOSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "MITCHELL",
            "middle_name": "MARY",
            "prefix": "MRS.",
            "credential": "HAIR RESTORATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mohammed Miradi, M.D.
• Lona Renee Misouria
• Thomas Robert Missett
• Mission Trails Healthcare LLC
• Adriana Misuraca, LCSW
• Emma Catherine Mitchell, AMFT
• Leah Mitchell, LCSW
• Mitali Chumki Mitra, M.D.
• Ashlee Miyamoto, RN, IBCLC
• Yasmin Moatazedi, PHARMD

• Prosthetics Case Management in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Prosthetics Case Management in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.