Elaine Resurreccion

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

490627 Issued in CA

Practice address

1150 Fremont Blvd
Seaside, CA 93955-5715

Phone

(831) 899-8100

NPI assigned

May 21, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1699900555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BUNKER HILL WAY",
            "address_2": "SUITE #100",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939066010",
            "telephone_number": "831-899-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 FREMONT BLVD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555715",
            "telephone_number": "831-899-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESURRECCION",
        "first_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "490627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC NPI",
            "identifier": "1881645158",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70530F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP70530F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Tan Quina
• Stephanie Quinonez
• Marina Quirit Quirit Russo, PPS SCHOOL PSYCH
• Jamie Reeder, NP
• Mary Jane Reilly-Jaramillo, FNP
• Catherine E Rivera, MS, MM, MT-BC
• Laura Rivera, SLP
• Mary Linda Roberts, M.D.
• Jerry Dwight Robinson Sr.
• Requal Nevajean Robinson, MSW

• Registered Nurse in Seaside, CA
• Providers in Seaside, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.