Spurlock Medical Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SPURLOCK MEDICAL CORP

Doing business as

Marriage Family Therapy Corp

Practice address

4540 Kearny Villa Rd Ste 222
San Diego, CA 92123-1587

Phone

(774) 262-4160

NPI assigned

Feb 23, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Spurlock, MDNPI 1659531127

Title

President

Phone

(774) 262-4160

Specialties & licenses 1

Addresses

Other names 1

• Marriage Family Therapy Corp Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Spurlock, M.D.

  • Internal Medicine Physician
  • Redding, CA
  • NPI 1659531127
  NPD Authorized official

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1841884566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7037 CANTABERRA CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294648",
            "telephone_number": "774-262-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 KEARNY VILLA RD STE 222",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231587",
            "telephone_number": "774-262-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPURLOCK MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "SPURLOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "774-262-4160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marriage Family Therapy Corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Spruell, RN
• Alaysia Spruill
• Conner Paul Spuhl
• Spunky Speech Therapy, Inc.
• Christopher Spurling, MS, CHES
• Erin Jean Spurlock, MFT
• Graham Joseph Spurzem, MD
• Mackenzie J Spycher
• Lauren Elizabeth Spydell, NP
• Joanna Marie Spyrou, PA-C

• Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.