Active NPI
Hurst Osteopathic Medicine, a Professional Corporation
- Internal Medicine Physician
- Tracy, CA
National Provider Identifier
1881990513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A8081
- Legal business name
- HURST OSTEOPATHIC MEDICINE, A PROFESSIONAL CORPORATION
- Practice address
- 632 W 11TH St
Suite 119
Tracy, CA 95376-3856 - Phone
- (209) 832-5500
- Fax
- (209) 832-5505
- NPI assigned
- Jan 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael D Hurst, D.O.
- Title
- Physician
- Phone
- (209) 832-5500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A8081 | CA | Primary |
| Pediatrics Physician | 208000000X | 20A8081 | CA |
Addresses
Primary practice location
632 W 11TH St
Suite 119
Tracy, CA 95376-3856
Mailing address
632 W 11TH St
Suite 119
Tracy, CA 95376-3856
Phone (209) 832-5500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360108800000",
"number": "1881990513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "632 W 11TH ST",
"address_2": "SUITE 119",
"city": "TRACY",
"state": "CA",
"postal_code": "953763856",
"telephone_number": "209-832-5500",
"fax_number": "209-832-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "632 W 11TH ST",
"address_2": "SUITE 119",
"city": "TRACY",
"state": "CA",
"postal_code": "953763856",
"telephone_number": "209-832-5500",
"fax_number": "209-832-5505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HURST OSTEOPATHIC MEDICINE, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-27",
"last_updated": "2013-02-06",
"status": "A",
"authorized_official_last_name": "HURST",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "209-832-5500",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A8081",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "20A8081",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.