Organization Active NPI

Kimberly Uhles Hurvitz, MD Inc

  • Dermatology Physician
  • Santa Barbara, CA
National Provider Identifier
1144594706
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A72486 Issued in CA
Legal business name
KIMBERLY UHLES HURVITZ, MD INC
Practice address
2936 De la Vina St
Suite 200
Santa Barbara, CA 93105-3354
Phone
(805) 618-1616
Fax
(805) 617-3558
NPI assigned
Feb 29, 2012
Last updated
Jun 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Dr. Kimberly Uhles Hurvitz, MDNPI 1497810402
Title
Owner
Phone
(805) 963-3757

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A72486 CA Primary

Addresses

Primary practice location

2936 De la Vina St
Suite 200
Santa Barbara, CA 93105-3354

Mailing address

PO Box 50706
Santa Barbara, CA 93150-0706
Phone (805) 963-3757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120504000591 CA Part B Supplier - Clinic/Group Practice 8123280344 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

2936 De la Vina St
Ste 200
Santa Barbara, CA 93105
Phone (805) 563-3135

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1144594706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50706",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931500706",
            "telephone_number": "805-963-3757",
            "fax_number": "805-564-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 DE LA VINA ST",
            "address_2": "SUITE 200",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931053354",
            "telephone_number": "805-618-1616",
            "fax_number": "805-617-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY UHLES HURVITZ, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "HURVITZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "UHLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-963-3757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A72486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.