NICHOLAS Q DE LA MOTTE HURST (NPI# 1831476506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831476506 |
Entity Type | Individual |
Full Name | NICHOLAS Q DE LA MOTTE HURST |
Credential | PA |
Practice Address |
2525 Erringer Rd Simi Valley CA 93065-2352 |
Mailing Address |
3525 Loma Vista Rd Ste A Ventura CA 93003-3101 |
Practice Telephone | 8055271404 |
Practice Fax Number | 8055275246 |
Mailing Telephone | 8056416415 |
Mailing Fax Number | 8056416495 |
Enumeration Date | 2011-11-09 |
Last Update Date | 2016-08-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 006327 | GA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
53067 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | GA | Student, Health Care |
Street Address |
2525 ERRINGER RD |
City | SIMI VALLEY |
State | CA |
Zip Code | 93065-2352 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497754832 | Jacqueline Suzanne Rood | Physical Therapist | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2005-07-19 |
1306493267 | Zade Neil Batarseh | Physician Assistant | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2019-08-23 |
1225685910 | Alison Marie Mosier | Physical Therapist | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2019-08-19 |
1669027025 | Kelly Erin Olson | Physician Assistant | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2019-08-02 |
1629531454 | Ventura Orthopedics Medical Group, Inc. | Specialist | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2019-04-09 |
1568930402 | Quynh-chau Hoang | Physician Assistant | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2018-11-08 |
1457863094 | Allan Waylee Kwok | Physical Therapist | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2017-11-03 |
1801262126 | Lauren Christine Strickler | Physical Therapist | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2015-08-20 |
1922499961 | Palita Khaledy | Occupational Therapist | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2015-02-12 |
1104228766 | Breanna Langel | Physical Therapist | 2525 Erringer Rd, Simi Valley, CA 93065-2352 | 2014-09-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992312243 | Healing Hands Health Care Corp | Hospice Care, Community Based | 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 | 2020-09-29 |
1487261731 | Healing Love Health Care Services, Inc. | Hospice Care, Community Based | 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 | 2020-09-29 |
1528682499 | Nicole G. Nalbandian | Dentist | First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 | 2020-06-05 |
1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
1962920553 | Taylor Pediatrics | Pediatrics | 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 | 2017-09-02 |
1487181301 | Renee Brooks | Marriage & Family Therapist | Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 | 2017-05-23 |
1225577208 | Amanda Blake | Dietitian, Registered | 2592 Victoria St, Simi Valley, CA 93065 | 2017-02-23 |
1245778364 | Tyler James Arauza | Behavior Technician | 2856 Thicket Pl., Simi Valley, CA 93065 | 2017-02-09 |
1992169007 | Sahar Yaftaly | Dentist | 2045 Royal Ave Ste 109, Simi Valley, CA 93065 | 2016-04-06 |
Find all providers in zip 93065 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1649894403 | Kathlyn Larco | Physician Assistant | 1233 W Randall Way, West Covina, CA 91790-4747 | 2020-06-07 |
1487126421 | Eliza Hughes | Physician Assistant | 860 Oak Park Blvd Ste 101, Arroyo Grande, CA 93420-1800 | 2018-12-31 |
1508333873 | Andrew Cantos Malit | Physician Assistant | 409 Bristol Way, Corona, CA 92879-6156 | 2018-10-25 |
1578049458 | Ida Jelveh | Physician Assistant | 28096 Edelweiss Ct, Laguna Niguel, CA 92677-7006 | 2018-07-13 |
1356833578 | Michael James Gonzalez | Physician Assistant | 1500 E Chevy Chase Dr # 401a401b, Glendale, CA 91206-4152 | 2018-06-04 |
1023500592 | Pamela Lambert Pa-c, Inc. | Physician Assistant | 16105 Mariposa Ave, Riverside, CA 92504-8730 | 2018-05-31 |
1225532385 | Folsom Physicain Assistant First Assist, Inc | Physician Assistant | Nina Vasiliev Pa-c, 15407 Muller Rd, Plymouth, CA 95669-9770 | 2018-03-22 |
1275040008 | Gm Surgical Assistant Inc | Physician Assistant | 15615 Turnberry St, Moreno Valley, CA 92555-4901 | 2018-01-02 |
1902311186 | Or Solutions Inc | Physician Assistant | 1501 Secret Ravine Pkwy Unit 527, Roseville, CA 95661-6005 | 2017-12-09 |
1184143828 | Alaa Abdalla Daghlas | Physician Assistant | 1100 S Eliseo Dr Ste A, Greenbrae, CA 94904-2017 | 2017-09-13 |
Find all providers with the same taxonomy |
City | SIMI VALLEY |
Zip Code | 93065 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.