Individual provider Active NPI

Michael Stuart Gurvey, MD

  • Pediatric Orthopaedic Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1154676559
Registry record updated Jul 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
G9840 Issued in CA
Practice address
2390 Crombie CT
Thousand Oaks, CA 91361-5322
Phone
(805) 496-9919
Fax
(805) 496-7470
NPI assigned
Jul 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X G9840 CA Primary

Addresses

Primary practice location

2390 Crombie CT
Thousand Oaks, CA 91361-5322

Mailing address

2390 Crombie CT
Thousand Oaks, CA 91361-5322
Phone (805) 496-9919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G9840CAMDPediatric Orthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1342828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342828800000",
    "number": "1154676559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 CROMBIE CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615322",
            "telephone_number": "805-496-9919",
            "fax_number": "805-496-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 CROMBIE CT",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615322",
            "telephone_number": "805-496-9919",
            "fax_number": "805-496-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURVEY",
        "first_name": "MICHAEL",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-21",
        "last_updated": "2012-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CA",
            "license": "G9840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.