Proactive Nursing, Inc.

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

Legal business name

PROACTIVE NURSING, INC.

Practice address

8692 Wagers Cir
Huntington Beach, CA 92647-5027

Phone

(619) 887-2838

NPI assigned

Nov 27, 2014

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

Coo

Phone

(619) 887-2838

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sherry DO, N.P.

  • Nurse Practitioner
  • Huntington Beach, CA
  • NPI 1205067543
  NPD

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

{
    "created_epoch": "1417046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417046400000",
    "number": "1902203441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E 8TH ST STE 102",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502868",
            "telephone_number": "619-887-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8692 WAGERS CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475027",
            "telephone_number": "619-887-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-27",
        "last_updated": "2014-11-27",
        "status": "A",
        "authorized_official_last_name": "PORSUELO",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "COO",
        "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": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Procare Work Injury Center & Urgent Care
• Terese C. Proctor, RD
• Prodius, Inc.
• Promptcare Occupational Medicine
• Brenna Hoff Proudfoot, FNP

• Gerontology Nurse Practitioner in Huntington Beach, CA
• Providers in Huntington Beach, 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 Nov 27, 2014; 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.