Individual provider Active NPI

Kelly Flores, NP

  • Nurse Practitioner
  • Merced, CA
National Provider Identifier
1184003402
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95002387 Issued in CA
Practice address
3303 M St
Merced, CA 95348-2714
Phone
(209) 726-3410
Fax
(209) 726-3371
NPI assigned
May 19, 2015
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95002387 CA Primary

Addresses

Primary practice location

3303 M St
Merced, CA 95348-2714

Mailing address

Dept la 23779
Pasadena, CA 91185-3779
Phone (866) 317-3801

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
I20150612001258 CA Practitioner - Nurse Practitioner 7618288945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

3150 G St
Suite D
Merced, CA 95340-1346
Phone (209) 921-3500

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
91.59
Promoting interoperability
94
Improvement activities
40
Cost
76.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95002387CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Laser Center, PC, a Professional Medical Corporation CurrentSince May 12, 2024 Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Feb 1, 2020 Accepting new patients
La Laser Center PC, a Professional Medical Corporation PastSince Feb 1, 2020 Accepting new patients

Locations

310 S Halcyon Rd
Ste 106
Arroyo Grande, CA 93420
Phone (805) 474-5807

621 W Line St
Ste 105
Bishop, CA 93514
Phone (760) 873-8781

6181 N Thesta St
Ste 104
Fresno, CA 93710
Phone (559) 418-5000

3150 G St
Ste D
Merced, CA 95340
Phone (209) 800-6000

74320 Highway 111
Ste 100
Palm Desert, CA 92260
Phone (760) 423-5610

631 W Avenue Q
Ste B
Palmdale, CA 93551
Phone (661) 425-0295

1210 Nevada St
Redlands, CA 92374
Phone (909) 809-5250

161 Avenida Vaquero
San Clemente, CA 92672
Phone (949) 489-8783

652 W 11th St
Ste 129
Tracy, CA 95376
Phone (209) 575-2700

981 E Tuolumne Rd
Ste 104
Turlock, CA 95382
Phone (209) 454-0494

1025 N Demaree St
Visalia, CA 93291
Phone (559) 931-0800

155 Main St
Woodland, CA 95695
Phone (916) 302-7505

1467 Live Oak Blvd
Yuba City, CA 95991
Phone (915) 252-3260

Interoperability endpoints

  • Direct secure messaging: kfloresnp@lalasercenter.emadirect.md

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, 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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1184003402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 23779",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911853779",
            "telephone_number": "866-317-3801",
            "fax_number": "512-583-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 M ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482714",
            "telephone_number": "209-726-3410",
            "fax_number": "209-726-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95002387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.