Kevin M Lin-Hurtubise, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G88017 Issued in CA

Practice address

316 S Stratford Ave Ste C
Santa Maria, CA 93454-5908

Phone

(805) 348-3700

Fax

(805) 348-3730

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kevin M Lin Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.lin-hurtubise.1@5868.direct.athenahealth.com

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.

• North Pacific Cardiology Medical

  • Internal Medicine Physician
  • Arcata, CA
  • NPI 1093821837
  Medicare reassignment NPD
• Paragon Chico Medical Group, Inc

  • Radiation Oncology Physician
  • Chico, CA
  • NPI 1528527181

  Surgery

  Medicare reassignment NPD
• CLHG-Ville Platte LLC

  • Anesthesiology Physician
  • Ville Platte, LA
  • NPI 1285811927
  NPD
• CLHG-Ville Platte LLC

  • Rural Health Clinic/Center
  • Washington, LA
  • NPI 1376911735
  NPD
• CLHG-Ville Platte LLC

  • Family Medicine Physician
  • Ville Platte, LA
  • NPI 1962128124
  NPD
• James D. Tate, M.D.

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1942204490
  NPD (past)
• Pacific Central Coast Health Centers

  • Community Health Clinic/Center
  • Nipomo, CA
  • NPI 1417555061
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1508802992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-739-3114",
            "fax_number": "805-739-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S STRATFORD AVE STE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545908",
            "telephone_number": "805-348-3700",
            "fax_number": "805-348-3730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 S Stratford Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545908",
            "country_code": "US",
            "telephone_number": "805-348-3700",
            "fax_number": "805-348-3730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 E Church St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545915",
            "country_code": "US",
            "telephone_number": "805-346-3456",
            "fax_number": "805-346-3454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Church St",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545906",
            "country_code": "US",
            "telephone_number": "805-739-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 E Church St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934545915",
            "country_code": "US",
            "telephone_number": "805-346-3456",
            "fax_number": "805-346-3454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN-HURTUBISE",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD11684",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G88017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501082",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "LIN",
            "middle_name": "M",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patrick Michael Lim, AMFT
• Betsy Limon Garcia
• Cristian Limon
• Fabiola Maria Limon
• Vanessa Monique Limon
• Stephanie Norris Lin, M.D.
• Jennifer Lee Lindley
• James Michael Lindsey, M.D.
• Deja Charita Linton, PT, DPT
• Annalisa Lipes

• Surgery Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.