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WALTER SAMUEL HURTADO PA C
NPI 1407890049
Physician Assistant - Surgical in Fresno, CA

Active since June 15, 2006PECOS Enrolled
72.73/100
CMS Quality Rating
1377 E HERNDON AVE, SUITE 104, FRESNO, CA 93720(559) 450-7455(559) 450-7473 Get Directions Write a Review

NPPES record last updated: February 14, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Walter Samuel Hurtado Pa C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER SAMUEL HURTADO PA C (NPI 1407890049) is an individual surgical provider in Fresno, California, licensed in California (PA16233) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407890049
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameWALTER SAMUEL HURTADOCredential: PA C
Location Address1377 E HERNDON AVE, SUITE 104Fresno, CA 93720-3022
Mailing Address1377 E Herndon Ave, Suite 104Fresno, CA 93720-3022 · (559) 450-7455 · Fax (559) 450-7473
Phone(559) 450-7455
Fax(559) 450-7473
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateFebruary 14, 2013
✔ NPI 1407890049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA16233
1377 E HERNDON AVE, Fresno, CA 93720
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Walter Samuel Hurtado Pa C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.14
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier16 claims16 services$15.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier16 claims16 services$65.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DENISE AGUILAR RN PA NP
Physician Assistant
1377 E HERNDON AVE, SUITE 104
FRESNO, CA 93720
Fresno County (559) 450-7455
GREATER FRESNO DEVELOPMENT CORP.
Pharmacy (Community/Retail Pharmacy)
1377 E HERNDON AVE
FRESNO, CA 93720
Fresno County (559) 435-1950
JOE RANDOLPH BOLTON MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1377 E HERNDON AVE, #104
FRESNO, CA 93720
Fresno County (559) 450-7455
MR. PETER LAWRENCE BIRNBAUM MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1377 E HERNDON AVE, SUITE 104
FRESNO, CA 93720
Fresno County (559) 450-7455
SAINT AGNES MEDICAL PROVIDERS INC
Emergency Medicine
1377 E HERNDON AVE, SUITE 104
FRESNO, CA 93720
Fresno County (559) 450-7455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Hurtado's NPI number?

The NPI number for Walter Hurtado is 1407890049. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Walter Hurtado located?

Walter Hurtado practices at 1377 E Herndon Ave Suite 104, Fresno, CA 93720. The listed phone number is (559) 450-7455.

What is Walter Hurtado's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Walter Hurtado enrolled in Medicare?

Yes. Walter Hurtado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Walter Hurtado was last updated on February 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.