Alejandro Hurtado, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

37118 Issued in CA

Practice address

115 S Los Robles Ave
Pasadena, CA 91101-2417

Phone

(626) 795-8628

Fax

(626) 585-1742

NPI assigned

Aug 11, 2005

Last updated

Aug 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1427050236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S LOS ROBLES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012417",
            "telephone_number": "626-440-1700",
            "fax_number": "626-585-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S LOS ROBLES AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012417",
            "telephone_number": "626-795-8628",
            "fax_number": "626-585-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO",
        "first_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huntington Urology Specialists, Inc.
• Cassandra Hurlbut
• Kenneth Euguene Hurley
• Charmaine Hurst
• Cara Lynn Hurt
• Karina Hurtado
• Sebastian Stefano Hurtado
• Susana Hurtado
• Danielle Hurwitz
• Maureen Huskey

• Dentist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.