Active NPI
Maria Elena Flores, P.A.
- Physician Assistant
- Fresno, CA
National Provider Identifier
1124147285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA11787
- Practice address
- 568 E Herndon Ave
Suite 201
Fresno, CA 93720-2989 - Phone
- (559) 228-6600
- Fax
- (559) 226-3709
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA11787 | CA | Primary |
Addresses
Primary practice location
568 E Herndon Ave
Suite 201
Fresno, CA 93720-2989
Mailing address
568 E Herndon Ave
Suite 201
Fresno, CA 93720-2989
Phone (559) 228-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA11787 | Other | CA | CA PA LIC # |
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1124147285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "568 E HERNDON AVE",
"address_2": "SUITE 201",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202989",
"telephone_number": "559-228-6600",
"fax_number": "559-226-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 E HERNDON AVE",
"address_2": "SUITE 201",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202989",
"telephone_number": "559-228-6600",
"fax_number": "559-226-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "MARIA",
"middle_name": "ELENA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA11787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA PA LIC #",
"identifier": "PA11787",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.