Healthcare Provider Details

I. General information

NPI: 1538559356
Provider Name (Legal Business Name): RACHEL HURD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2015
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 CARMEN LN
SANTA MARIA CA
93458-7769
US

IV. Provider business mailing address

516 E JEWEL ST
SANTA MARIA CA
93454-1946
US

V. Phone/Fax

Practice location:
  • Phone: 805-212-7680
  • Fax:
Mailing address:
  • Phone: 805-264-1031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number17321
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: