Individual provider Active NPI

Eva Marie De la Motte Hurst, PA-C

  • Physician Assistant
  • Westlake Village, CA
National Provider Identifier
1790238558
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA53572 Issued in CA
Practice address
32144 Agoura Rd Ste 112
Westlake Village, CA 91361
Phone
(818) 889-2739
Fax
(818) 889-2747
NPI assigned
Jul 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA53572 CA
Physician Assistant 363A00000X PA53572 CA Primary

Addresses

Primary practice location

32144 Agoura Rd Ste 112
Westlake Village, CA 91361

Mailing address

4745 Moorpark Ave
Apt 13
Moorpark, CA 93021-4127
Phone (404) 991-8836

Other practice location 1

35 W Los Angeles Ave
Moorpark, CA 93021-1820
Phone (805) 373-1785

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
53572CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PA53572CAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1790238558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 MOORPARK AVE",
            "address_2": "APT 13",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930214127",
            "telephone_number": "404-991-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD STE 112",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "818-889-2739",
            "fax_number": "818-889-2747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 W Los Angeles Ave",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930211820",
            "country_code": "US",
            "telephone_number": "805-373-1785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA MOTTE HURST",
        "first_name": "EVA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-28",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA53572",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.