Ashley Abigail Gruezo Resurreccion

Primary specialty

CounselorTaxonomy code 101Y00000X

License

APCC14047 Issued in CA

Practice address

7025 Woodman Ave Apt 12a
Van Nuys, CA 91405-3426

Phone

(818) 988-8865

NPI assigned

Nov 16, 2023

Last updated

Nov 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1700092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1740055078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 WOODMAN AVE APT 12A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053426",
            "telephone_number": "818-988-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 WOODMAN AVE APT 12A",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053426",
            "telephone_number": "818-988-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESURRECCION",
        "first_name": "ASHLEY ABIGAIL",
        "middle_name": "GRUEZO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "APCC14047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.