Individual provider Active NPI

Nihra A Hulbert, M.D.

  • Pediatrics Physician
  • Coachella, CA
National Provider Identifier
1326080078
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A25553 Issued in CA
Practice address
1293 6TH St
Coachella, CA 92236-1707
Phone
(760) 391-5151
Fax
(760) 775-4818
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A25553 CA Primary

Addresses

Primary practice location

1293 6TH St
Coachella, CA 92236-1707

Mailing address

81767 Dr Carreon Blvd
Suite #201
Indio, CA 92201-5597
Phone (760) 775-4181

Other identifiers 1

IdentifierTypeStateIssuer
00A255530OtherCAPROVIDER#

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
A25553CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coachella Valley Care Medical Associates Inc Past Accepting new patients
Coachella Valley Care Medical Associates Inc Past Accepting new patients
Indio Emergency Medical Group Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nihrahulbert@iemg.allscriptsdirect.net

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, 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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1326080078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81767 DR CARREON BLVD",
            "address_2": "SUITE #201",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015597",
            "telephone_number": "760-775-4181",
            "fax_number": "760-775-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 6TH ST",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361707",
            "telephone_number": "760-391-5151",
            "fax_number": "760-775-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULBERT",
        "first_name": "NIHRA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A25553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER#",
            "identifier": "00A255530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.