CARLOS ADIAX HURTADO-LOPEZ – Marriage & Family Therapist, NPI 1174775787

CARLOS ADIAX HURTADO-LOPEZ is a healthcare provider. based in Santa paula, California. specializing in MARRIAGE AND FAMILY THERAPIST. The NPI Number for CARLOS ADIAX HURTADO-LOPEZ is 1174775787

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
CARLOS ADIAX HURTADO-LOPEZ
NPI
1174775787
Phone
(805) 525-4669
Address
625 E MAIN ST
Enumeration Date
14 October 2008
Last Update Date
2 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6822890546
Graduation Year
2008 (18 years ago)
PAC ID
0446608707
Group Practice PAC ID
3072908565
Professional Enrollment ID
I20231127002044
Address ID
TX760215823BE1901XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:17State licenses:0Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

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Provider Addresses for CARLOS ADIAX HURTADO-LOPEZ

  • 625, East Main Street, Santa Paula, Ventura County, California, 93060, United States

    SANTA PAULA, CA 930602608

    Phone: (805) 525-4669

    Type: Location

  • 2566, Dumetz Street, Old Town, Camarillo, Ventura County, California, 93010, United States

    CAMARILLO, CA 930106512

    Phone: (805) 482-7499

    Type: Mailing

  • 1901 CENTRAL DR STE 160

    BEDFORD, TX 760215823

    Phone: (682) 289-0546

    Type: Mailing

  • 1911 WILLIAMS DR

    OXNARD, CA 930362612

    Phone: (805) 981-4200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231127002044IMarriage And Family TherapistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072908565View full group profile
NameSpecialtyState
Clinical Social WorkerTX
Clinical PsychologistTX
Clinical PsychologistTX
Clinical Social WorkerTX
Clinical PsychologistVA

Reviews

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Frequently asked questions

How do I look up CARLOS ADIAX HURTADO-LOPEZ by NPI?
Use NPI 1174775787 when you need to reference CARLOS ADIAX HURTADO-LOPEZ in forms, claims, or directories.
Is CARLOS ADIAX HURTADO-LOPEZ's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does CARLOS ADIAX HURTADO-LOPEZ list a primary specialty?
If you are matching referrals, note Marriage & Family Therapist for CARLOS ADIAX HURTADO-LOPEZ. Clinical services aligned with this taxonomy classification.
What location metadata exists for CARLOS ADIAX HURTADO-LOPEZ?
The page summarizes Santa Paula, California for CARLOS ADIAX HURTADO-LOPEZ; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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