Individual provider Active NPI

Kim David Flora, DPM

  • Podiatrist
  • Tulare, CA
National Provider Identifier
1033117106
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3667 Issued in CA
Practice address
1086 N. Cherry Street
Tulare, CA 93274-2251
Phone
(559) 688-3668
Fax
(559) 688-1814
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3667 CA Primary

Addresses

Primary practice location

1086 N. Cherry Street
Tulare, CA 93274-2251

Mailing address

1086 N Cherry St
Tulare, CA 93274-2251
Phone (559) 686-9459

Other identifiers 2

IdentifierTypeStateIssuer
000E36670OtherCAMEDI-CAL ID #
RHC140182OtherCARADIOGRAPHY LIC #

Other names 1

  • Kim David Flora Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061017000595 CA Practitioner - Podiatry 7911903828
O20100930036525 CA DME Supplier - Physician - PodiatryDME Supplier - Orthotic Personnel 1254451453 Practice locations: Tulare, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altura Centers for HealthGroup PAC ID 9830103449, shared by 7 NPIs, 26 clinicians

Practice addresses (Care Compare)

1101 N Cherry St
Tulare, CA 93274-2231
Phone (559) 686-9097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3667CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Tulare Past Accepting new patients
Altura Centers for Health Past Accepting new patients
Stockdale Podiatry Group Inc Podiatrist PastSince Aug 1, 2025 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.flora.p1@direct.altura.nextgenshare.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1033117106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 N CHERRY ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742251",
            "telephone_number": "559-686-9459",
            "fax_number": "559-688-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 N. CHERRY STREET",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742251",
            "telephone_number": "559-688-3668",
            "fax_number": "559-688-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORA",
        "first_name": "KIM",
        "middle_name": "DAVID",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2023-03-07",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL ID #",
            "identifier": "000E36670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOGRAPHY LIC #",
            "identifier": "RHC140182",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "FLORA",
            "middle_name": "DAVID",
            "credential": "D.P.M., INC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.