Individual provider Active NPI

Keith A Hurvitz, MD

  • Plastic Surgery Physician
  • Long Beach, CA
National Provider Identifier
1205989258
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A74511 Issued in CA
Practice address
6226 E Spring St
Suite 380
Long Beach, CA 90815-1423
Phone
(562) 595-6543
Fax
(562) 981-1955
NPI assigned
Jan 20, 2007
Last updated
Sep 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A74511 CA
Plastic Surgery Physician 208200000X A74511 CA Primary

Addresses

Primary practice location

6226 E Spring St
Suite 380
Long Beach, CA 90815-1423

Mailing address

6226 E Spring St
Suite 380
Long Beach, CA 90815-1423
Phone (562) 595-6543

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828000473 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 8325130826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.17 of 100Reported as group
Quality
81.15
Promoting interoperability
100
Improvement activities
40
Cost
71.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74511CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorialcare Medical Foundation CurrentSince Mar 1, 2023 Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

2810 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 933-1877

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: khurvitz17929@direct.memorialcare.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1205989258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST",
            "address_2": "SUITE 380",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151423",
            "telephone_number": "562-595-6543",
            "fax_number": "562-595-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST",
            "address_2": "SUITE 380",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151423",
            "telephone_number": "562-595-6543",
            "fax_number": "562-981-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURVITZ",
        "first_name": "KEITH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A74511",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A74511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.