Active NPI
Kathleen Hurwitz M.D. Inc.
- Pediatrics Physician
- Murrieta, CA
National Provider Identifier
1003187006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G61204
- Legal business name
- KATHLEEN HURWITZ M.D. INC.
- Practice address
- 25395 Hancock Ave
Suite 250
Murrieta, CA 92562-9054 - Phone
- (951) 698-0300
- Fax
- (951) 698-3719
- NPI assigned
- Jan 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Ford
- Title
- Biller
- Phone
- (951) 694-6102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G61204 | CA | Primary |
Addresses
Primary practice location
25395 Hancock Ave
Suite 250
Murrieta, CA 92562-9054
Mailing address
25395 Hancock Ave
Suite 250
Murrieta, CA 92562-9054
Phone (951) 698-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G612040 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
25395 Hancock Ave
Ste 250A
Murrieta, CA 92562
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327276800000",
"number": "1003187006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25395 HANCOCK AVE",
"address_2": "SUITE 250",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925629054",
"telephone_number": "951-698-0300",
"fax_number": "951-698-3719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25395 HANCOCK AVE",
"address_2": "SUITE 250",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925629054",
"telephone_number": "951-698-0300",
"fax_number": "951-698-3719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN HURWITZ M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "951-694-6102",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "G61204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G612040",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murrieta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.