Active NPI
Alexandra Nugent Fresquez, DPT
- Physical Therapist
- Anaheim, CA
National Provider Identifier
1578835138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38487
- Practice address
- 300 S Harbor Blvd
Suite 710
Anaheim, CA 92805-3733 - Phone
- (800) 561-5207
- NPI assigned
- Jan 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38487 | CA | Primary |
Addresses
Primary practice location
300 S Harbor Blvd
Suite 710
Anaheim, CA 92805-3733
Mailing address
2812 Amherst Ave
Fullerton, CA 92831-1502
Phone (714) 307-2543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38487 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327795200000",
"number": "1578835138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 AMHERST AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928311502",
"telephone_number": "714-307-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S HARBOR BLVD",
"address_2": "SUITE 710",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053733",
"telephone_number": "800-561-5207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRESQUEZ",
"first_name": "ALEXANDRA",
"middle_name": "NUGENT",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-29",
"last_updated": "2012-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.