Active NPI
Rachel K Hurlburt, DO
- Family Medicine Physician
- Quincy, CA
National Provider Identifier
1720054265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A7712
- Practice address
- 1060 Valley View Dr
Quincy, CA 95971 - Phone
- (530) 283-5640
- Fax
- (530) 283-3541
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A7712 | CA | Primary |
Addresses
Primary practice location
1060 Valley View Dr
Quincy, CA 95971
Mailing address
1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A77120 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7712 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1720054265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1065 BUCKS LAKE RD",
"city": "QUINCY",
"state": "CA",
"postal_code": "95971",
"telephone_number": "530-283-2121",
"fax_number": "530-283-7953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 VALLEY VIEW DR",
"city": "QUINCY",
"state": "CA",
"postal_code": "95971",
"telephone_number": "530-283-5640",
"fax_number": "530-283-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLBURT",
"first_name": "RACHEL",
"middle_name": "K",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-24",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A7712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "020A77120",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Quincy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.