Organization Active NPI

Jorge a. Flores DDS, Inc.

  • Dental Clinic/Center
  • Rialto, CA
National Provider Identifier
1326345497
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49313 Issued in CA
Legal business name
JORGE A. FLORES DDS, INC.
Practice address
249 W Foothill Blvd
Rialto, CA 92376-5047
Phone
(909) 820-2420
Fax
(909) 820-2490
NPI assigned
Feb 25, 2011
Last updated
Feb 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Dr. Jorge Alfredo Flores, DDSNPI 1114125937
Title
Chief Executive Officer
Phone
(909) 820-2420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49313 CA Primary

Addresses

Primary practice location

249 W Foothill Blvd
Rialto, CA 92376-5047

Mailing address

249 W Foothill Blvd
Rialto, CA 92376-5047
Phone (909) 820-2420

National Provider Directory

National Provider Directory

Locations

249 W Foothill Blvd
Rialto, CA 92376
Phone (909) 820-2420

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1326345497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 W FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765047",
            "telephone_number": "909-820-2420",
            "fax_number": "909-820-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 W FOOTHILL BLVD",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765047",
            "telephone_number": "909-820-2420",
            "fax_number": "909-820-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE A. FLORES DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-820-2420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.