OrganizationActive
Rita R Ellithorpe MD, Inc
NPI 1619403854 · Prevention Professional · Tustin, CA
Provider details
- NPI number
- 1619403854
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Talon Ellithorpe, Practice Manager(714) 805-6173
- License
- G83575 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13422 Newport Ave Ste L
Tustin, CA 92780-3746
Phone: (714) 544-1521
Fax: (888) 415-3257
Street-level locationGet directions
Mailing address
13422 Newport Ave Ste L
Tustin, CA 92780-3746
Other names (DBA / former)
- Doing business as
- Tustin Longevity Center
Registry dates
- Enumerated
- 2017-05-09
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.