Active NPI
Jose Guadaupe Hurtado, LCSW
- Clinical Social Worker
- Oakland, CA
National Provider Identifier
1528240868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW76919
- Practice address
- 10901 Macarthur Blvd Ste 201
Oakland, CA 94605 - Phone
- (510) 502-3280
- Fax
- (510) 868-1940
- NPI assigned
- Nov 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW76919 | CA | Primary |
Addresses
Primary practice location
10901 Macarthur Blvd Ste 201
Oakland, CA 94605
Mailing address
2600 San Leandro Blvd Apt 1319
San Leandro, CA 94578-5048
Phone (831) 600-5175
Other practice location 1
303 W Joaquin Ave Ste 110
San Leandro, CA 94577-3667
Phone (510) 878-8709
Other practice location 2
20835 Chester St Ste A
Castro Valley, CA 94546-5515
Phone (510) 502-3280
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW76919 | Other | CA | BOARD OF BEHAVIO |
| LCSW76919 | Other | CA | BOARD OF BEHAVIORAL SCIENCES CALIFORNIA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW76919 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1528240868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 SAN LEANDRO BLVD APT 1319",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945785048",
"telephone_number": "831-600-5175",
"fax_number": "510-868-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 MACARTHUR BLVD STE 201",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94605",
"telephone_number": "510-502-3280",
"fax_number": "510-868-1940"
}
],
"practiceLocations": [
{
"address_1": "303 W Joaquin Ave Ste 110",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945773667",
"country_code": "US",
"telephone_number": "510-878-8709",
"fax_number": "510-686-8832",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20835 Chester St Ste A",
"address_purpose": "LOCATION",
"city": "Castro Valley",
"state": "CA",
"postal_code": "945465515",
"country_code": "US",
"telephone_number": "510-502-3280",
"fax_number": "510-868-1940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURTADO",
"first_name": "JOSE",
"middle_name": "GUADAUPE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-28",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW76919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIO",
"identifier": "LCSW76919",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES CALIFORNIA",
"identifier": "LCSW76919",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.