Pedro Maniquis Florescio Jr., M.D.

Key facts

NPI

1295878098

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatry Physician 2084P0800X

License

A44757 (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

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Alma Family Services Community/Behavioral Health Agency · Pico Rivera, CA · NPI 1992834659
  Medicare reassignment Care Compare group NPD CA
• Pacific Clinics Community/Behavioral Health Agency · Campbell, CA · NPI 1255496105
  Medicare reassignment Care Compare group NPD CA
• Alma Family Services Community/Behavioral Health Agency · Huntington Park, CA · NPI 1700249893
  NPD
• Pacific Clinics Community/Behavioral Health Agency · Fresno, CA · NPI 1336458934
  NPD
• Pacific Clinics Community/Behavioral Health Agency · Glendale, CA · NPI 1366100851
  NPD

Medicare Care Compare profile

Specialty

Psychiatry

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pacific Clinics (72 clinicians)
Alma Family Services (6 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "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

• Gustavo Flores
• John Frank Flores
• Kenia J Flores
• Michael Flores
• Skye Sharon Flores
• Sara Fontan, MSW
• Gregory Foote
• Martina Ford
• Quinton J Ford, QMHS
• Graciela Franco

All providers in Santa Fe Springs, CA · Psychiatry Physician in California