Justin Wade Hurtado Palomo, PHD

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

806 S 2ND St
San Jose, CA 95112-5823

Phone

(408) 580-4914

NPI assigned

Nov 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Justin Wade Palomo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1942024625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "VERNON",
            "state": "AZ",
            "postal_code": "859400315",
            "telephone_number": "408-580-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S 2ND ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125823",
            "telephone_number": "408-580-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTADO PALOMO",
        "first_name": "JUSTIN",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTIN",
            "last_name": "PALOMO",
            "middle_name": "WADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Varsha Huralikoppi
• Julie Hurant
• Courtney Hurd, PSYD
• Jennifer Lynn Hurley, OTR/L
• Philip K Hurst, MD
• Janet Karina Hurtado
• Maria Hurtado, LVN
• Miguel Gasca Hurtado
• Patricia Hurtado
• Ruth Elizabeth Hurtado, PTA

• Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.