Organization Active NPI

Hurst Osteopathic Medicine, a Professional Corporation

  • Internal Medicine Physician
  • Tracy, CA
National Provider Identifier
1881990513
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A8081 Issued in CA
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

Updated by the provider on Feb 6, 2013

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 20A8081 CA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.