Active NPI
Mario Brian Flores, MSW
- Clinical Social Worker
- Redlands, CA
National Provider Identifier
1013280932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- Q1-0011861
- Practice address
- 26001 Redlands Blvd
Redlands, CA 92373-7762 - Phone
- (909) 894-7455
- NPI assigned
- Feb 23, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Q1-0011861 | DE | Primary |
Addresses
Primary practice location
26001 Redlands Blvd
Redlands, CA 92373-7762
Mailing address
26001 Redlands Blvd
Redlands, CA 92373-7762
Phone (909) 894-7455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q1-0011861 | DE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1013280932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26001 REDLANDS BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923737762",
"telephone_number": "909-894-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26001 REDLANDS BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923737762",
"telephone_number": "909-894-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "MARIO",
"middle_name": "BRIAN",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-23",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q1-0011861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.