ELLYN W. HARTMAN CPNP NPI 1245240738

NPI Information

  • NPI: 1245240738
  • Provider Name: ELLYN W. HARTMAN, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 5525 GROSSMONT CENTER DR
    LA MESA, CA
    ZIP 91942
  • Phone: (619) 644-6905

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NPI Details

Ellyn W. Hartman, CPNP is a pediatrics nurse practitioner in La Mesa, CA. Ellyn W. Hartman, CPNP NPI is 1245240738. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5525 GROSSMONT CENTER DR
LA MESA, CA
ZIP 91942-009
Phone: (619) 644-6905

The enumeration date for this NPI number is 8/8/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsRN225948CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WNP3930AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2P21445MEDICARE UPINCALIFORNIA
3RN225948MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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