MR. ELIJAH RYAN PHOENIX PMHNP
NPI 1518778976
Nurse Practitioner - Psychiatric/Mental Health in Orange, CA

NPI Status: Active since January 15, 2025

Contact Information

1100 W STEWART DR
ORANGE, CA
ZIP 92868
Phone: (618) 919-0972

Get Directions Reviews

  • Individual
  • Male
  • Nurse Practitioner
  • Psychiatric/Mental Health

About ELIJAH PHOENIX

This page provides the complete NPI Profile along with additional information for Elijah Phoenix, a provider established in Orange, California with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1518778976 assigned on January 2025. The practitioner's primary taxonomy code is 363LP0808X with license number 95032063 (CA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1518778976
Provider Name
MR. ELIJAH RYAN PHOENIX PMHNP
Other Name
ELIZABETH ALDER
Other Name Type
Former Name (1)
Gender
Male
Entity Type
Individual
Location Address
1100 W STEWART DR ORANGE, CA 92868
Location Phone
(618) 919-0972
Mailing Address
9951 HOLDER ST APT 49 CYPRESS, CA 90630
Mailing Phone
(618) 919-0972
Is Sole Proprietor?
No
Enumeration Date
01-15-2025
Last Update Date
01-15-2025
Code Navigator

A nurse practitioner (NP) like Elijah Phoenix is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
95032063
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

95232470 (CA)

Reviews for MR. ELIJAH RYAN PHOENIX PMHNP

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518778976
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252814716914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 1 + 4 + 7 + 1 + 6 + 9 + 1 + 4 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1518778976 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255331385 LIANJIE DU M.D.
Individual
Psychiatry & Neurology (Psychiatry)1100 W STEWART DR
ORANGE, CA 92868
(714) 564-9659
1720080294JACK LIANJIE DU, M.D., A MEDICAL CORPORATION
Organization
Psychiatry & Neurology (Psychiatry)1100 W STEWART DR
ORANGE, CA 92868
(714) 771-8134
1871525949 JEFFREY MICHAEL HUGHES MD
Individual
Emergency Medicine1100 W STEWART DR
ORANGE, CA 92868
(714) 633-9111
1811929979 DAVID S MERIN MD
Individual
Emergency Medicine1100 W STEWART DR
ORANGE, CA 92868
(714) 633-9111
1700818861 BRAD MARC LA ROCCA MD
Individual
Emergency Medicine1100 W STEWART DR
ORANGE, CA 92868
(714) 633-9111
1073545216 BRIAN SUK LEE MD
Individual
Emergency Medicine1100 W STEWART DR
ORANGE, CA 92868
(714) 633-9111
1942220249 CLAUDIA R GOLD MD
Individual
Emergency Medicine1100 W STEWART DR
ORANGE, CA 92868
(714) 633-9111
1730100256 ROBERT STEVEN PECK M.D.
Individual
Anesthesiology1100 W STEWART DR
ORANGE, CA 92868
(714) 633-9111
1275554727 ALAIN SHOUPING WU M.D.
Individual
Anesthesiology1100 W STEWART DR
ORANGE, CA 92868
(714) 633-9111
1720096209 GARY A CHAVEZ MD
Individual
Emergency Medicine1100 W STEWART DR
ORANGE, CA 92868
(714) 633-9111
1720097066DR. LISA KOHORN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1100 W STEWART DR SJH-DEPT. OF PATHOLOGY
ORANGE, CA 92868
(714) 771-8176
1386738748MS. ELAINE MARY JOYCE Y GO NP, MSN
Individual
Nurse Practitioner (Adult Health)1100 W STEWART DR
ORANGE, CA 92868
(714) 771-8000
1780752139 MARK LONES M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1100 W STEWART DR
ORANGE, CA 92868
(714) 771-8176
1154476000MS. PAULA MAE GULL RNP
Individual
Nurse Practitioner (Adult Health)1100 W STEWART DR SEB, 2ND FLOOR
ORANGE, CA 92868
(714) 771-8033
1285789149DR. ERVIN PAUL RUZICS MD
Individual
Transplant Surgery1100 W STEWART DR SEB, 2ND FLOOR
ORANGE, CA 92868
(714) 771-8033
1952445579 CHRISTIAN R JAGUSCH MD
Individual
Emergency Medicine1100 W STEWART DR
ORANGE, CA 92868
(714) 633-9111
1386789428DR. GREGORY MEREDITH PERKINS MD
Individual
Anesthesiology1100 W STEWART DR
ORANGE, CA 92868
(714) 633-9111
1609902873MR. CHRISTOPHER FERRY ATC
Individual
Specialist/Technologist (Athletic Trainer)1100 W STEWART DR
ORANGE, CA 92868
(714) 771-8000
1528194909 SALOMON M. MAYA MD
Individual
Anesthesiology1100 W STEWART DR
ORANGE, CA 92868
(714) 633-9111
1164547469 SANDRA Y. KANEKO PTA, ATC, CEAS
Individual
Physical Therapy Assistant1100 W STEWART DR PHYSICAL REHAB SERVICES
ORANGE, CA 92868
(714) 771-8222

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518778976, enumerated in the NPI registry as an "individual" on January 15, 2025

The provider is located at 1100 W Stewart Dr Orange, Ca 92868 and the phone number is (618) 919-0972

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on January 15, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.