Active NPI
Jacob N Flores
Doing business as Mobile Medicine Outreach Medical
- Adult Medicine Physician
- Oceanside, CA
National Provider Identifier
1336165885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- JACOB N FLORES
- Doing business as
- Mobile Medicine Outreach Medical
- Practice address
- 2171 S El Camino Real Ste 104
Oceanside, CA 92054-6269 - Phone
- (760) 754-5663
- Fax
- (760) 754-5440
- NPI assigned
- Jul 15, 2006
- Last updated
- Sep 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacob Nava Flores, MD
- Title
- Owner
- Phone
- (760) 754-5663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | NU | Primary |
Addresses
Primary practice location
2171 S El Camino Real Ste 104
Oceanside, CA 92054-6269
Mailing address
2171 S El Camino Real Ste 104
Oceanside, CA 92054-6269
Phone (760) 754-5663
Other names 1
- Mobile Medicine Outreach Medical
National Provider Directory
National Provider DirectoryLocations
2171 S El Camino Real
Ste 104
Oceanside, CA 92054
Phone (760) 754-5663
2424 Vista Way
Ste 204
Oceanside, CA 92054
Phone (310) 668-9054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285286400000",
"number": "1336165885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 S EL CAMINO REAL STE 104",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546269",
"telephone_number": "760-754-5663",
"fax_number": "760-754-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2171 S EL CAMINO REAL STE 104",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920546269",
"telephone_number": "760-754-5663",
"fax_number": "760-754-5440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACOB N FLORES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2010-09-24",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "NAVA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-754-5663",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mobile Medicine Outreach Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.