Active NPI
John Phillip Hurwitz, DO
- Internal Medicine Physician
- Santa Rosa, CA
National Provider Identifier
1124018262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2OA6856
- Practice address
- 3751 Montgomery Dr
Santa Rosa, CA 95405-5214 - Phone
- (707) 583-1805
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2OA6856 | CA | Primary |
| Hospitalist Physician | 208M00000X | 2OA6856 | CA |
Addresses
Primary practice location
3751 Montgomery Dr
Santa Rosa, CA 95405-5214
Mailing address
122 Calistoga Rd
Suite 197
Santa Rosa, CA 95409-3702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9645038 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 17.08 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 56.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2OA6856 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Phillip Hurwitz MD a Professional Corporation | Internal Medicine | Current | Accepting new patients |
Locations
2100 Forest Ave
Ste 108
San Jose, CA 95128
Phone (408) 240-2614
3751 Montgomery Dr
Santa Rosa, CA 95405
Phone (253) 212-7129
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
122 Calistoga Rd
Santa Rosa, CA 95409
Phone (707) 341-6829
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1366627788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416182400000",
"number": "1124018262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 CALISTOGA RD",
"address_2": "SUITE 197",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954093702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954055214",
"telephone_number": "707-583-1805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURWITZ",
"first_name": "JOHN",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2014-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "2OA6856",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "2OA6856",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9645038",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.