Kimberlee Hurwitz-Provda

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3233 Mission Oaks Blvd
Building C
Camarillo, CA 93012

Phone

(310) 592-8576

NPI assigned

Apr 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1952788192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22836 MARGARITA DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643843",
            "telephone_number": "310-592-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 MISSION OAKS BLVD",
            "address_2": "BUILDING C",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "93012",
            "telephone_number": "310-592-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURWITZ-PROVDA",
        "first_name": "KIMBERLEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Keith Hunter, D.D.S., M.S.D.
• John E Huntsinger, DDS
• Julie Hurd, O.D.
• Susanna D Hurtado
• Taryn Hurvitz, AU.D.
• Michael Alan Hurwitz, M.D.
• Kyle Huynh, M.D.
• Tristan Hyde
• Christopher Mark Hynum, M.D.
• Abed Alkarim Ibrahim Hweih

• Marriage & Family Therapist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.