Individual provider Active NPI

Michael Francis Kurtz, PA

  • Physician Assistant
  • Sherman Oaks, CA
National Provider Identifier
1386343259
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
65609 Issued in CA
Practice address
15477 Ventura Blvd
Sherman Oaks, CA 91403-3006
Phone
(818) 907-0322
Fax
(818) 907-0630
NPI assigned
Feb 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117126 FL
Physician Assistant 363A00000X 65609 CA Primary

Addresses

Primary practice location

15477 Ventura Blvd
Sherman Oaks, CA 91403-3006

Mailing address

1569 NW 17TH Ave
Miami, FL 33125-2371
Phone (484) 753-4381

Other practice location 1

2133 N Commerce Pkwy
Weston, FL 33326-3238
Phone (954) 686-2060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240417003074 PA Practitioner - Physician Assistant 6608229638 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
65609CAMDPharmacist
PA9117126FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Community Health Care, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Superior Medical Center PA PastSince May 7, 2023 Accepting new patients

Locations

2501 W Lehigh Ave
Philadelphia, PA 19132
Phone (215) 227-0300

Interoperability endpoints

  • Direct secure messaging: michael.kurtz.1@25278.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.

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1386343259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 NW 17TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252371",
            "telephone_number": "484-753-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15477 VENTURA BLVD",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033006",
            "telephone_number": "818-907-0322",
            "fax_number": "818-907-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2133 N Commerce Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263238",
            "country_code": "US",
            "telephone_number": "954-686-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-28",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117126",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "65609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.