Individual provider Active NPI

Cory S Spurlock, MD

  • Emergency Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1144260449
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C152251 Issued in CA
Practice address
235 E 17TH St
Costa Mesa, CA 92627-3831
Phone
(949) 688-2010
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C152251 OK
Emergency Medicine Physician 207P00000X C152251 CA Primary

Addresses

Primary practice location

235 E 17TH St
Costa Mesa, CA 92627-3831

Mailing address

1700 W Parkside Ave
Burbank, CA 91506-2907
Phone (954) 632-8290

Other practice location 1

25548 The Old Rd
Stevenson Ranch, CA 91381-1705
Phone (661) 556-9020

Other practice location 2

25548 The Old Rd
Stevenson Ranch, CA 91381-1705
Phone (661) 556-9020

Other identifiers 1

IdentifierTypeStateIssuer
200007590AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040430001313 OK Practitioner - Family Practice 1153319082 Reassigns benefits to 1 organization
I20180326002264 CA Practitioner - Emergency Medicine 1153319082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C152251CAMDEmergency Medicine Physician
C152251OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Providence Facey Medical Foundation Current Accepting new patients
Exer Medical Corporation CurrentSince Jan 30, 2018 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Jul 8, 2014 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
Citizen Potawatomi Nation PastSince Apr 30, 2003 Accepting new patients
Hughes Emergency Physicians Emergency Medicine Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients

Locations (25 of 40)

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

390 N Pacific Coast Hwy
Ste 3000
El Segundo, CA 90245
Phone (818) 238-7081

1365 S Grand Ave
Glendora, CA 91740
Phone (626) 385-1456

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

4143 Campus Dr
Ste C200
Irvine, CA 92612
Phone (949) 471-0002

475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377

5101 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 800-3883

2110 W Sunset Blvd
Ste M
Los Angeles, CA 90026
Phone (510) 686-3621

2090 Westwood Blvd
Los Angeles, CA 90025
Phone (213) 813-4070

4121 Santa Monica Blvd
Ste 106
Los Angeles, CA 90029
Phone (213) 335-7355

8985 Venice Blvd
Los Angeles, CA 90034
Phone (310) 474-2152

File 50670
Los Angeles, CA 90074

8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400

8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020

3215 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 295-0540

4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371

19346 Nordhoff St
Northridge, CA 91324
Phone (818) 727-2024

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

3160 E Del Mar Blvd
Ste 110
Pasadena, CA 91107
Phone (626) 270-2400

6020 Seabluff Dr
Ste 1
Playa Vista, CA 90094
Phone (310) 862-0400

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1144260449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W PARKSIDE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062907",
            "telephone_number": "954-632-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E 17TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273831",
            "telephone_number": "949-688-2010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25548 The Old Rd",
            "address_purpose": "LOCATION",
            "city": "Stevenson Ranch",
            "state": "CA",
            "postal_code": "913811705",
            "country_code": "US",
            "telephone_number": "661-556-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25548 The Old Rd",
            "address_purpose": "LOCATION",
            "city": "Stevenson Ranch",
            "state": "CA",
            "postal_code": "913811705",
            "country_code": "US",
            "telephone_number": "661-556-9020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPURLOCK",
        "first_name": "CORY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "C152251",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C152251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200007590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.