Healthcare Provider Details

I. General information

NPI: 1124837513
Provider Name (Legal Business Name): ELAINA MARIE-YVETTE CARTAGENA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/31/2024
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1921 S CATALINA AVE STE 1
REDONDO BEACH CA
90277-5516
US

IV. Provider business mailing address

20832 VALERIO ST UNIT 7
WINNETKA CA
91306-2789
US

V. Phone/Fax

Practice location:
  • Phone: 562-451-9456
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number2024087422
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: