Individual provider Active NPI

Kevin Hurley Jr., FNP-BC

  • Family Nurse Practitioner
  • Sunnyvale, CA
National Provider Identifier
1770297475
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023843 Issued in CA
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

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230512001940 CA Practitioner - Nurse Practitioner 2567828759 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95023843CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion4Health CurrentSince Apr 1, 2023 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Jun 3, 2025 Accepting new patients
Premise Health of California Medical PC PastSince Mar 31, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.