Lori Jo Gresowski

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

NP12408 Issued in CA

Practice address

3175 Firestone Blvd
South Gate, CA 90280-2951

Phone

(949) 929-4165

Fax

(323) 923-5460

NPI assigned

Dec 7, 2016

Last updated

Dec 7, 2016By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Multi Health Care Medical Group Inc.

  • Family Medicine Physician
  • South Gate, CA
  • NPI 1861418576
  NPD (past)

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1851835045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 FIRESTONE BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802951",
            "telephone_number": "949-929-4165",
            "fax_number": "323-923-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 FIRESTONE BLVD",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802951",
            "telephone_number": "949-929-4165",
            "fax_number": "323-923-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRESOWSKI",
        "first_name": "LORI JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CA",
            "license": "NP12408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00NP12408",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe Sal Gonzalez
• Sandra Gonzalez, PHARMD
• Amy Gowan, MD
• Gray Flex Inc (Grace Medical Transport)
• Greenfield Care Center of South Gate LLC
• Elaina Grey
• Jonathan Guajardo
• Miguel Guerrero
• Jose Efrain Guevara Jr.
• Ednagrace Guillen, NP

• Family Health Clinical Nurse Specialist in South Gate, CA
• Providers in South Gate, CA by specialty
• Family Health Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.