Full Circle Premium Health a Professional Nursing Corporation

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Legal business name

FULL CIRCLE PREMIUM HEALTH A PROFESSIONAL NURSING CORPORATION

Practice address

4201 Torrance Blvd Ste 380
Torrance, CA 90503-4501

Phone

(424) 247-7397

NPI assigned

Aug 15, 2025

Organization subpart

No

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

Authorized official

Name

Abigail Grace PrushanskyNPI 1801557061

Title

Owner

Phone

(424) 247-7397

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abigail G Prushansky, FNP-BC, CNM

  • Advanced Practice Midwife
  • Torrance, CA
  • NPI 1801557061

  Family

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1720964463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 380",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034501",
            "telephone_number": "424-247-7397",
            "fax_number": "424-571-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 380",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034501",
            "telephone_number": "424-247-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE PREMIUM HEALTH A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "PRUSHANSKY",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-247-7397"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Fukunaga, MD
• Karl Ken Fukunaga, MD
• Shelly A Fukunaga, O.D.
• Janice Y Fukushima, DDS
• Kaori Fukuzato, RN
• Maria Reyda Roxas Fuller, RN
• Ryan Fuller
• Tamerra Lamai Fulse
• Samantha Lynne Fults
• Functional Restoration Medical Center, Inc,

• Advanced Practice Midwife in Torrance, CA
• Providers in Torrance, CA by specialty
• Advanced Practice Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.