Individual provider Active NPI

Jesus Miguel Flores

  • Community Health Worker
  • Fairfield, CA
National Provider Identifier
1346970795
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696
Phone
(888) 992-5332
NPI assigned
Jun 16, 2022
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

4820 Business Center Dr Ste 210
Fairfield, CA 94534-1696

Mailing address

2458 Old Sonoma Rd Apt 8
Napa, CA 94558-6053
Phone (707) 294-0874

Other practice location 1

2310 1st St
Napa, CA 94559-2239
Phone (707) 224-8266

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aldea Inc CurrentSince Jun 11, 2023 Accepting new patients
Aldea, Inc CurrentSince Jun 11, 2023 Accepting new patients
Aldea, Inc. PastSince Jun 1, 2022 Accepting new patients

Locations

4820 Business Center Dr
Ste 210
Fairfield, CA 94534
Phone (707) 425-9670

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1346970795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 OLD SONOMA RD APT 8",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586053",
            "telephone_number": "707-294-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 BUSINESS CENTER DR STE 210",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341696",
            "telephone_number": "888-992-5332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 1st St",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945592239",
            "country_code": "US",
            "telephone_number": "707-224-8266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JESUS",
        "middle_name": "MIGUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.