Organization Active NPI

J. David Hurtado, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1629064993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 22, 2020

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.NPI 1528243243
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

525 N 18th St
Ste 402
Phoenix, AZ 85006
Phone (602) 253-2813

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.