Individual provider Active NPI

Alexander Jesse Flores, MD

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1154063006
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A203109 Issued in CA
Practice address
2601 Holme Ave
Philadelphia, PA 19152-2096
Phone
(215) 335-6000
NPI assigned
Apr 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A203109 CA Primary

Addresses

Primary practice location

2601 Holme Ave
Philadelphia, PA 19152-2096

Mailing address

14040 Night Song CT
Chino Hills, CA 91709-1520
Phone (909) 999-1308

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924001902 CA Practitioner - Emergency Medicine 6800391509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andy Shen MD IncGroup PAC ID 8527164482, 22 clinicians
Oc Emergency PhysiciansGroup PAC ID 3870085228, 13 clinicians
Emergency Physicians of San Gabriel ValleyGroup PAC ID 4082023726, 21 clinicians

Practice addresses (Care Compare)

100 S Raymond Ave
Alhambra, CA 91801-3166
Phone (626) 570-1606

14662 Newport Ave
Tustin, CA 92780-6064
Phone (714) 619-7700

438 W Las Tunas Dr
San Gabriel, CA 91776-1216
Phone (626) 289-5454

Hospital & facility affiliations

  • San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132
  • Alhambra Hospital Medical Center Hospital, Alhambra, CA, CCN 050281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of San Gabriel Valley Emergency Medicine CurrentSince Jul 12, 2025 Accepting new patients
Oc Emergency Physicians Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Andy Shen, M.D., Inc. Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

100 S Raymond Ave
Alhambra, CA 91801
Phone (626) 457-7938

438 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 289-5454

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1154063006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14040 NIGHT SONG CT",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091520",
            "telephone_number": "909-999-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522096",
            "telephone_number": "215-335-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ALEXANDER",
        "middle_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A203109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.