Individual provider Active NPI

Courtney Lynn Flores, NP-C

  • Family Nurse Practitioner
  • Gardena, CA
National Provider Identifier
1033830997
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022502 Issued in CA
Practice address
1145 W Redondo Beach Blvd
Gardena, CA 90247-3511
Phone
(310) 532-4200
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95022502 CA
Family Nurse Practitioner 363LF0000X 95022502 CA Primary

Addresses

Primary practice location

1145 W Redondo Beach Blvd
Gardena, CA 90247-3511

Mailing address

15422 Norwich Cir
Huntington Beach, CA 92647-2712
Phone (714) 767-9516

Other practice location 1

12410 Seal Beach Blvd Ste F
Seal Beach, CA 90740-2788
Phone (562) 516-3339

Other practice location 2

2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823
Phone (888) 663-6331

Other names 1

  • Courtney Lynn Couillard Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccouillard@pipelinehealth.us Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621000921 CA Practitioner - Nurse Practitioner 7214395433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95022502CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redondo Emergency Physicians, Inc. CurrentSince Feb 9, 2023 Accepting new patients
Badday Medex Inc PastSince Jan 1, 2022 Accepting new patients

Locations

1145 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 532-4200

Organizations & group practices 2

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": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1033830997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15422 NORWICH CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472712",
            "telephone_number": "714-767-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W REDONDO BEACH BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473511",
            "telephone_number": "310-532-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12410 Seal Beach Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Seal Beach",
            "state": "CA",
            "postal_code": "907402788",
            "country_code": "US",
            "telephone_number": "562-516-3339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Embarcadero Ctr Lbby Level",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941113823",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95022502",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccouillard@pipelinehealth.us",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1145 W Redondo Beach Blvd",
            "city": "Gardena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902473511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "COUILLARD",
            "middle_name": "LYNN",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.