Individual provider Active NPI

Jazmin Flores

  • Home Health Registered Nurse
  • Corona, CA
National Provider Identifier
1326647835
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
F462420927530 Issued in FL
Practice address
230 N Sherman Ave
Corona, CA 92882-1843
Phone
(951) 249-7574
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X F462420927530 FL Primary

Addresses

Primary practice location

230 N Sherman Ave
Corona, CA 92882-1843

Mailing address

1038 E Bastanchury Rd Ste 211
Fullerton, CA 92835-2786

Other identifiers 1

IdentifierTypeStateIssuer
F46242092730OtherFLHMO

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL aloraplus Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F462420927530FLMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Healthcare Current Accepting new patients

Locations

1038 E Bastanchury Rd
Fullerton, CA 92835
Phone (714) 447-7303

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1570/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1326647835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 E BASTANCHURY RD STE 211",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N SHERMAN AVE",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928821843",
            "telephone_number": "951-249-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JAZMIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "F462420927530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "F46242092730",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "aloraplus",
            "affiliation": "N",
            "endpointDescription": "Home Health system",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "230 N Sherman Ave",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928821843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.