Individual provider Active NPI

Jon Floresca

  • Vascular & Interventional Radiology Physician
  • Loma Linda, CA
National Provider Identifier
1396108999
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A153707 Issued in CA
Practice address
11234 Anderson St
Gme Office Westerly Suite C
Loma Linda, CA 92354-2804
Phone
(909) 558-7814
NPI assigned
Mar 31, 2016
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X BP10055720 TX
Vascular & Interventional Radiology Physician 2085R0204X A153707 CA Primary

Addresses

Primary practice location

11234 Anderson St
Gme Office Westerly Suite C
Loma Linda, CA 92354-2804

Mailing address

11234 Anderson St Ste MC-2605J
Loma Linda, CA 92354-2804
Phone (909) 558-4000

Other practice location 1

1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220729000782 CA Practitioner - Interventional Radiology 8628363934 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Antonio Radiological MedicalGroup PAC ID 8325035942, 54 clinicians
Darin Rentz DO PCGroup PAC ID 7315333853, 131 clinicians
Sol Radiology IncGroup PAC ID 1850796681, 66 clinicians

Practice addresses (Care Compare)

12442 Limonite Ave
Eastvale, CA 91752-2467
Phone (951) 393-3010

350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5593

5000 San Bernardino St
Montclair, CA 91763-2326
Phone (909) 625-8376

7777 Milliken Ave
Rancho Cucamonga, CA 91730-6780
Phone (909) 948-8000

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A153707CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darin Rentz DO PC CurrentSince Jul 1, 2025 Accepting new patients
Beaumont Radiology Services LLC CurrentSince Jul 21, 2022 Accepting new patients
Sol Radiology, Inc. Vascular & Interventional Radiology CurrentSince Feb 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Surgery Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Sol Radiology, Inc. CurrentSince Feb 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Aug 1, 2022 Accepting new patients
San Antonio Radiological Medical CurrentSince Aug 1, 2024 Accepting new patients
City of Hope Medical Foundation Surgery CurrentSince Mar 1, 2025 Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808

11234 Anderson St
Ste MC2605J
Loma Linda, CA 92350

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

11234 Anderson St
Ofc
Loma Linda, CA 92350
Phone (909) 558-4074

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File 54701
Los Angeles, CA 90074
Phone (909) 651-4300

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

1100 San Bernardino Rd
Ste 1100
Upland, CA 91786
Phone (909) 949-2242

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jfloresca135965@direct.llu.edu

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1396108999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST STE MC-2605J",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "GME OFFICE WESTERLY SUITE C",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804",
            "telephone_number": "909-558-7814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 N Beckley Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752031201",
            "country_code": "US",
            "telephone_number": "214-947-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORESCA",
        "first_name": "JON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP10055720",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A153707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.