Organization Active NPI

Warrior Wellness Inc

  • Pain Medicine (Anesthesiology) Physician
  • Hollister, CA
National Provider Identifier
1720528722
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
3988926 Issued in CA
Legal business name
WARRIOR WELLNESS INC
Practice address
930 Sunnyslope Rd
Suite A4
Hollister, CA 95023-5615
Phone
(831) 630-5754
Fax
(831) 630-5786
NPI assigned
Feb 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Authorized official

Name
Dr. Ariel Moreno Hurtado, M.D.NPI 1255659181
Title
Owner
Phone
(415) 672-4049

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 3988926 CA Primary

Addresses

Primary practice location

930 Sunnyslope Rd
Suite A4
Hollister, CA 95023-5615

Mailing address

843 San Benito St
Hollister, CA 95023-4878
Phone (831) 630-5754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170427000568 CA Part B Supplier - Clinic/Group Practice 2961789060 Receives reassigned benefits from 1 practitioner
Practice locations: Freedom, CA; Hollister, CA; Monterey, CA

National Provider Directory

National Provider Directory

Locations

798 Cass St
Ste 202
Monterey, CA 93940
Phone (831) 630-5754

Practitioners & affiliated clinicians

Practitioners 2

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": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1720528722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 SAN BENITO ST",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234878",
            "telephone_number": "831-630-5754",
            "fax_number": "831-630-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE RD",
            "address_2": "SUITE A4",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235615",
            "telephone_number": "831-630-5754",
            "fax_number": "831-630-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRIOR WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "HURTADO",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "MORENO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-672-4049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "3988926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.