Eladio Diesto Flores, PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

33673 Issued in CA

Practice address

2920 Westminster Ave
Seal Beach, CA 90740-5305

Phone

(562) 594-8600

Fax

(562) 594-4599

NPI assigned

Aug 28, 2007

Last updated

Aug 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1023202579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8352 YORKSHIRE AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046769",
            "telephone_number": "562-303-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 WESTMINSTER AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405305",
            "telephone_number": "562-594-8600",
            "fax_number": "562-594-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ELADIO",
        "middle_name": "DIESTO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "33673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Faustino Jr., PT, DPT
• Julia Ferguson
• Pascal Ferzli, M.D.
• Dylan Firsick, PH.D.
• Rebecca Ann Fisher, DPT
• Ellie M Fong, PA-C
• Allison Taylor Forbes, PHARMD
• Jamie Foster, AMFT
• David Thomas Frank, DC
• Lauren Franke

• Physical Therapy Clinic/Center in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.