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

Ellina Rose Bastian

Individual provider Physician Assistant · NPI 1679425466

Ellina Rose Bastian is a Physician Assistant in Chino Valley, Arizona. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

1558 E Yorkshire Ave
Chino Valley, AZ 86323-7147
Phone: (815) 980-9155
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679425466
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

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