Active NPI
J. David Hurtado, M.D.
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1629064993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- J. DAVID HURTADO, M.D.
- Practice address
- 525 N 18TH St
402
Phoenix, AZ 85006-4102 - Phone
- (602) 253-2813
- Fax
- (602) 253-2815
- NPI assigned
- Sep 22, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. J. David Hurtado, M.D.
- Title
- Owner
- Phone
- (602) 253-2813
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
525 N 18TH St
402
Phoenix, AZ 85006-4102
Mailing address
525 N 18TH St
402
Phoenix, AZ 85006-3746
Phone (602) 253-2813
National Provider Directory
National Provider DirectoryLocations
525 N 18th St
Ste 402
Phoenix, AZ 85006
Phone (602) 253-2813
Interoperability endpoints
- https://api.platform.athenahealth.com/6156/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1528243243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629064993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 N 18TH ST",
"address_2": "402",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850063746",
"telephone_number": "602-253-2813",
"fax_number": "602-253-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 N 18TH ST",
"address_2": "402",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850064102",
"telephone_number": "602-253-2813",
"fax_number": "602-253-2815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. DAVID HURTADO, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HURTADO",
"authorized_official_first_name": "J. DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-253-2813",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.