Individual provider Active NPI

Jacinto M Flores-Alvarez, D.C. C.C.S.P.

  • Sports Physician Chiropractor
  • Irvine, CA
National Provider Identifier
1063786416
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
32173 Issued in CA
Practice address
15520 Rockfield Blvd Ste A200
Irvine, CA 92618-6705
Phone
(949) 598-9999
Fax
(949) 598-9990
NPI assigned
Mar 2, 2012
Reactivated
Mar 8, 2021
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 32173 CA Primary

Addresses

Primary practice location

15520 Rockfield Blvd Ste A200
Irvine, CA 92618-6705

Mailing address

23331 Via Venado
Coto de Caza, CA 92679

Other names 1

  • Mike Flores Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923003206 CA Practitioner - Chiropractic 9335456300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30332 Esperanza
Rancho Santa Margarita, CA 92688-2118
Phone (949) 264-6440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amp Sports Med Inc Past Accepting new patients
Amp Sports Med Inc Past Accepting new patients
Amp Sports Med Inc Past Accepting new patients
Amp Sports Med Inc. Past Accepting new patients
Amp Sports Med Inc Past Accepting new patients
Amp Sports Med Inc Past Accepting new patients
Amp Sports Med Inc. Past Accepting new patients
Amp Sports Med Inc PastSince Jun 15, 2021 Accepting new patients

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1063786416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23331 VIA VENADO",
            "city": "COTO DE CAZA",
            "state": "CA",
            "postal_code": "92679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15520 ROCKFIELD BLVD STE A200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926186705",
            "telephone_number": "949-598-9999",
            "fax_number": "949-598-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES-ALVAREZ",
        "first_name": "JACINTO",
        "middle_name": "M",
        "credential": "D.C. C.C.S.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "deactivation_date": "2021-01-06",
        "reactivation_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "32173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "FLORES",
            "credential": "D.C. C.C.S.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.