Active NPI
Michael Z Kurtz, D.O.
- Sports Medicine (Family Medicine) Physician
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 20A4525
- Practice address
- 12495 Valley View St
Garden Grove, CA 92845-2032 - Phone
- (714) 897-9355
- Fax
- (714) 897-5117
- NPI assigned
- Oct 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 20A4525 | CA | Primary |
Addresses
Primary practice location
12495 Valley View St
Garden Grove, CA 92845-2032
Mailing address
12495 Valley View St
Garden Grove, CA 92845-2032
Phone (714) 897-9355
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 Compare- Specialty
- Family Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12495 Valley View St
Garden Grove, CA 92845-2032
Phone (714) 897-9355
Hospital & facility affiliations
- Lorian Health
- Uci Health-Orange
- Hoag Memorial Hospital Presbyterian
- Memorialcare Long Beach Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 14 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A4525 | CA | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Spine Orthopaedics | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- michael.kurtz.1@29004.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Sports Medicine (Family Medicine) Physician
- Garden Grove, CA
- NPI 1750434908
-
dba Los Alamitos Medical Center
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- Orthopaedic Surgery Physician
- Torrance, CA
- NPI 1811936743
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Long Beach, CA
- NPI 1821043332
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1194814020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12495 VALLEY VIEW ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452032",
"telephone_number": "714-897-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12495 VALLEY VIEW ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928452032",
"telephone_number": "714-897-9355",
"fax_number": "714-897-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTZ",
"first_name": "MICHAEL",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "20A4525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.