Active NPI
Kevin Hurley Jr., FNP-BC
- Family Nurse Practitioner
- Sunnyvale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95023843
- Practice address
- 1111 Lockheed Martin Way BLDG 157
Sunnyvale, CA 94089-1212 - Phone
- (408) 742-6333
- NPI assigned
- Jan 9, 2023
- Sex
- Male
- Sole proprietor
- No
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 Nurse Practitioner | 363LF0000X | 95023843 | CA | Primary |
Addresses
Primary practice location
1111 Lockheed Martin Way BLDG 157
Sunnyvale, CA 94089-1212
Mailing address
1111 Lockheed Martin Way BLDG 157
Sunnyvale, CA 94089-1212
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95023843 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion4Health | Current | Accepting new patients | |
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Premise Health of California Medical PC | Past | Accepting new patients |
Locations
2720 N Harbor Blvd
Ste 200
Fullerton, CA 92835
Phone (714) 449-6900
501 N Central Ave
Glendale, CA 91203
Phone (805) 505-7757
79440 Corporate Center Dr
Ste 100
La Quinta, CA 92253
401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206
333 University Ave
Ste 140
Sacramento, CA 95825
Phone (916) 333-5800
4520 Executive Dr
Ste 227
San Diego, CA 92121
Phone (619) 333-3515
1998 Market St
San Francisco, CA 94102
Phone (415) 651-3558
1390 Market St
Ste 109
San Francisco, CA 94102
Phone (415) 918-5766
46 Hillsdale Mall
San Mateo, CA 94403
Phone (650) 769-5612
27555 Ynez Rd
Ste 370
Temecula, CA 92591
Phone (951) 699-3299
77 Rolling Oaks Dr
Ste 201
Thousand Oaks, CA 91361
Phone (805) 413-9099
440 N Mountain Ave
Ste 103
Upland, CA 91786
Interoperability endpoints
- kevin.hurley.p1@direct.ifh.nextgenshare.com
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Infusion Therapy Clinic/Center
- Thousand Oaks, CA
- NPI 1508262213
-
- Clinic/Center
- Sunnyvale, CA
- NPI 1912426032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1770297475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 LOCKHEED MARTIN WAY BLDG 157",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940891212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 LOCKHEED MARTIN WAY BLDG 157",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940891212",
"telephone_number": "408-742-6333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "KEVIN",
"name_suffix": "Jr.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-09",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95023843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.