Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rita R Ellithorpe MD, Inc

Organization Prevention Professional · NPI 1619403854

Rita R Ellithorpe MD, Inc is a Prevention Professional in Santa Ana, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

825 Parkcenter Dr Ste 100
Santa Ana, CA 92705-3524
Phone: (714) 544-1521
Fax: (714) 544-1904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence G83575 (CA)

Record details

NPI number1619403854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Talon Ellithorpe — Practice Manager · (714) 805-6173
Other names Tustin Longevity Center
NPI enumeratedMay 9, 2017
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026
Mailing address825 Parkcenter Dr Ste 100, Santa Ana, CA 92705-3524