Individual provider Active NPI

In Haing Hur, MD

  • Obstetrics & Gynecology Physician
  • Villa Park, CA
National Provider Identifier
1730287129
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A36111 Issued in CA
Practice address
18781 Ragan Cir
Suite 607
Villa Park, CA 92861-3134
Phone
(714) 974-4680
Fax
(714) 956-1210
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A36111 CA Primary

Addresses

Primary practice location

18781 Ragan Cir
Suite 607
Villa Park, CA 92861-3134

Mailing address

18781 Ragan Cir
Suite 607
Villa Park, CA 92861-3134
Phone (714) 974-4680

Other identifiers 1

IdentifierTypeStateIssuer
00A361110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010002325 CA Practitioner - Obstetrics/Gynecology 4284909706 Practice locations: Garden Grove, CA; Anaheim, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A36111CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
In Hur, MD Obstetrics & Gynecology PastSince Aug 12, 2017 Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1730287129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18781 RAGAN CIR",
            "address_2": "SUITE 607",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928613134",
            "telephone_number": "714-974-4680",
            "fax_number": "714-956-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18781 RAGAN CIR",
            "address_2": "SUITE 607",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928613134",
            "telephone_number": "714-974-4680",
            "fax_number": "714-956-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUR",
        "first_name": "IN",
        "middle_name": "HAING",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A36111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A361110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Park, CA

Sources for this page

Verify at the official NPI Registry.