Active NPI
Jacinth Carla Resurreccion
- Social Worker
- Torrance, CA
National Provider Identifier
1992433965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 19401 S Vermont Ave # L102
Torrance, CA 90502-1029 - Phone
- (310) 323-6887
- NPI assigned
- Aug 9, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 109341 | CA | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
19401 S Vermont Ave # L102
Torrance, CA 90502-1029
Mailing address
19401 S Vermont Ave # L102
Torrance, CA 90502-1029
Phone (310) 323-6887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109341 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1992433965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19401 S VERMONT AVE # L102",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021029",
"telephone_number": "310-323-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 S VERMONT AVE # L102",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905021029",
"telephone_number": "310-323-6887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESURRECCION",
"first_name": "JACINTH",
"middle_name": "CARLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "109341",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
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- Restore the Machine - Physical Therapy Inc
- Restore Weight Loss, PC
- Retina Institute of California Medical Group, a California Medical Par
- Retina Macula Institute
- John Richard a. Retodo, D.M.D
- Nancy Jo Rettig, LMFT
- Reinald Allen Revilla, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.