Individual provider Active NPI

Annabelle Mamsaang Flores, LVN, VND, DSD

  • Licensed Vocational Nurse
  • Suisun City, CA
National Provider Identifier
1033929906
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
682760 Issued in CA
Practice address
333 Sunset Ave Ste 270
Suisun City, CA 94585-2068
Phone
(707) 384-4949
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 682760 CA Primary

Addresses

Primary practice location

333 Sunset Ave Ste 270
Suisun City, CA 94585-2068

Mailing address

2117 Allston PL
Fairfield, CA 94533-2703

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

LicenseStateTypeSpecialty
682760CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Special Care Services, LLC Licensed Vocational Nurse CurrentSince Jan 19, 2025 Accepting new patients

Locations

333 Sunset Ave
Ste 270
Suisun City, CA 94585
Phone (707) 384-4949

Organizations & group practices 1

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": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1033929906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 ALLSTON PL",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945332703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SUNSET AVE STE 270",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945852068",
            "telephone_number": "707-384-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ANNABELLE",
        "middle_name": "MAMSAANG",
        "name_prefix": "Mrs.",
        "credential": "LVN, VND, DSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "682760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suisun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.