Organization Active NPI

Jacob N Flores

Doing business as Mobile Medicine Outreach Medical

  • Adult Medicine Physician
  • Oceanside, CA
National Provider Identifier
1336165885
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.