Judith Ann Resnick, R.N.

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

178666 Issued in CA

Practice address

6301 Beach Blvd
Suite 216, Oc HCA PHCN Area 1
Buena Park, CA 90621-2840

Phone

(714) 562-1772

Fax

(714) 562-1773

NPI assigned

Nov 9, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1043490725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "address_2": "COUNTY OF ORANGE HCA, BUILDING 11",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927020355",
            "telephone_number": "714-562-1772",
            "fax_number": "714-562-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD",
            "address_2": "SUITE 216, OC HCA PHCN AREA 1",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212840",
            "telephone_number": "714-562-1772",
            "fax_number": "714-562-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "178666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Registered Nurse in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.