# PROACTIVE SENIOR CARE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699926378
- **Authorized official:** MRS. GEMMA E. PORSUELO NURSE PRACTITIONER (PRESIDENT)
- **Authorized official phone:** (619) 887-2838

## Contact information

- **Practice address:** 944 REGAL RD, ENCINITAS, CA 92024-4634
- **Practice address phone:** (619) 887-2838
- **Practice address fax:** (760) 765-4684
- **Mailing address:** PO BOX 628, JULIAN, CA 92036-0628
- **Mailing address phone:** (619) 887-2838
- **Mailing address fax:** (760) 765-4684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | 15158 | CA | Yes |

## Other

- **Enumeration date:** 10/01/2008
- **Last updated:** 10/01/2008