Proactive Senior Care Inc

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

15158 Issued in CA

Legal business name

PROACTIVE SENIOR CARE INC

Practice address

944 Regal Rd
Encinitas, CA 92024-4634

Phone

(619) 887-2838

Fax

(760) 765-4684

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Gemma E. Porsuelo, NURSE PRACTITIONER

Title

President

Phone

(619) 887-2838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1699926378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "JULIAN",
            "state": "CA",
            "postal_code": "920360628",
            "telephone_number": "619-887-2838",
            "fax_number": "760-765-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 REGAL RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244634",
            "telephone_number": "619-887-2838",
            "fax_number": "760-765-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "PORSUELO",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-887-2838",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "15158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gerontology Nurse Practitioner in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Gerontology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.