Organization Active NPI

Keith a Hurvitz M D a Medical Corporation

  • Plastic Surgery Physician
  • Long Beach, CA
National Provider Identifier
1568834059
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A74511 Issued in CA
Legal business name
KEITH A HURVITZ M D A MEDICAL CORPORATION
Practice address
6226 E Spring St Ste 380
Long Beach, CA 90815-1444
Phone
(562) 595-6543
Fax
(562) 595-1414
NPI assigned
Oct 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Dr. Keith A Hurvitz, M.D.NPI 1205989258
Title
President
Phone
(562) 595-6543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A74511 CA Primary

Addresses

Primary practice location

6226 E Spring St Ste 380
Long Beach, CA 90815-1444

Mailing address

6226 E Spring St Ste 380
Long Beach, CA 90815-1444
Phone (562) 595-6543

Other practice location 1

2880 Atlantic Ave Ste 290
Suite 380
Long Beach, CA 90806-1716
Phone (562) 595-6543

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1568834059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST STE 380",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151444",
            "telephone_number": "562-595-6543",
            "fax_number": "562-595-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 E SPRING ST STE 380",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151444",
            "telephone_number": "562-595-6543",
            "fax_number": "562-595-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2880 Atlantic Ave Ste 290",
            "address_2": "Suite 380",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908061716",
            "country_code": "US",
            "telephone_number": "562-595-6543",
            "fax_number": "562-981-1955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEITH A HURVITZ M D A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "HURVITZ",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-595-6543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A74511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.