Individual provider Active NPI

Pedro Maniquis Florescio Jr., M.D.

  • Psychiatry Physician
  • Santa Fe Springs, CA
National Provider Identifier
1295878098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A44757 Issued in CA
Practice address
11721 Telegraph Rd
Suite a
Santa Fe Springs, CA 90670-3674
Phone
(562) 949-8455
Fax
(562) 949-4807
NPI assigned
Feb 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A44757 CA Primary

Addresses

Primary practice location

11721 Telegraph Rd
Suite a
Santa Fe Springs, CA 90670-3674

Mailing address

337 Elmhurst PL
Fullerton, CA 92835-3512
Phone (714) 680-6427

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
I20050506000701 CA Practitioner - Psychiatry 7618917840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific ClinicsGroup PAC ID 4082008420, 72 clinicians
Alma Family ServicesGroup PAC ID 8729114855, 6 clinicians

Practice addresses (Care Compare)

1020 S Arroyo Pkwy
Pasadena, CA 91105-3911
Phone (626) 403-2794

11721 Telegraph Rd
Suite a
Santa Fe Springs, CA 90670-6835
Phone (562) 949-8455

800 S Santa Anita Ave
Arcadia, CA 91006-3536

9101 Whittier Blvd
Pico Rivera, CA 90660-2405
Phone (562) 801-4626

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44757CAMDGeneral Practice Dentistry
A44757CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Clinics Current Accepting new patients
Pacific Clinics CurrentSince Mar 1, 2022 Accepting new patients
Pacific Clinics CurrentSince Mar 1, 2022 Accepting new patients
Alma Family Services CurrentSince Jan 2, 2016 Accepting new patients
Alma Family Services CurrentSince Jan 2, 2016 Accepting new patients

Locations

251 Llewellyn Ave
Campbell, CA 95008
Phone (408) 364-4083

4701 E Cesar E Chavez Ave
Los Angeles, CA 90022
Phone (323) 267-3400

902 S Myrtle Ave
Monrovia, CA 91016
Phone (626) 303-1541

900 Corporate Center Dr
Ste 350
Monterey Park, CA 91754

1020 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 403-2794

9101 Whittier Blvd
Pico Rivera, CA 90660
Phone (562) 801-4626

11721 Telegraph Rd
Ste A
Santa Fe Springs, CA 90670
Phone (562) 949-4807

Organizations & group practices 5

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295878098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 ELMHURST PL",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353512",
            "telephone_number": "714-680-6427",
            "fax_number": "714-680-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11721 TELEGRAPH RD",
            "address_2": "SUITE A",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906703674",
            "telephone_number": "562-949-8455",
            "fax_number": "562-949-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORESCIO",
        "first_name": "PEDRO",
        "middle_name": "MANIQUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A44757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

Verify at the official NPI Registry.