Individual provider Active NPI

Juliana Resuello Labrador, MSN-FNP

  • Nurse Practitioner
  • Garden Grove, CA
National Provider Identifier
1629759659
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95024594 Issued in CA
Practice address
12966 Euclid St Ste 110
Garden Grove, CA 92840-9203
Phone
(720) 204-5760
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024594 CA
Nurse Practitioner 363L00000X 95024594 CA Primary

Addresses

Primary practice location

12966 Euclid St Ste 110
Garden Grove, CA 92840-9203

Mailing address

12966 Euclid St Ste 110
Garden Grove, CA 92840-9203
Phone (404) 408-5442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429002783 CA Practitioner - Nurse Practitioner 2668812397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista del Mar Medical Group IncGroup PAC ID 1951357888, 7 clinicians

Practice addresses (Care Compare)

1200 W Gonzales Rd
Suite 300
Oxnard, CA 93036-3075
Phone 8059830691142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024594CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vista del Mar Medical Group, Inc CurrentSince May 19, 2025 Accepting new patients

Locations

1200 W Gonzales Rd
Ste 300
Oxnard, CA 93036
Phone (805) 278-9094

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCFGBD
  • Direct secure messaging: strivehealth.julianalabrador@147989.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1629759659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 110",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409203",
            "telephone_number": "404-408-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 EUCLID ST STE 110",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928409203",
            "telephone_number": "720-204-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRADOR",
        "first_name": "JULIANA",
        "middle_name": "RESUELLO",
        "credential": "MSN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024594",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.