Individual provider Active NPI

Edna Iris Flores, M.D.

  • Medical Oncology Physician
  • La Jolla, CA
National Provider Identifier
1396994604
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
312009 Issued in CA
Practice address
9850 Genesee Ave Ste 560
La Jolla, CA 92037-1229
Phone
(858) 552-1410
Fax
(858) 552-0929
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N0768 TX
Medical Oncology Physician 207RX0202X 312009 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 560
La Jolla, CA 92037-1229

Mailing address

1791 E Fir Ave
Fresno, CA 93720-3840
Phone (559) 326-1238

Other identifiers 1

IdentifierTypeStateIssuer
214754801MedicaidTX

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
I20140721001559 CA Practitioner - Hematology/Oncology 2163554445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

16918 Dove Canyon Rd
San Diego, CA 92127-3455
Phone (858) 649-5100

28078 Baxter Rd
Suite 140
Murrieta, CA 92563-1403
Phone (760) 733-9191

7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone (559) 326-1222

838 Nordahl Rd
San Marcos, CA 92069-3599
Phone (760) 747-8935

9850 Genesee Ave
Suite 560
La Jolla, CA 92037-1229
Phone (858) 522-1410

Hospital & facility affiliations

  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324
  • Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503
  • Scripps Green Hospital Hospital, La Jolla, CA, CCN 050424
  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0768TXMDInternal Medicine Physician
312009CAMDMedical Oncology Physician

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
California Cancer Associates for Research and Excellence Inc Hematology & Oncology CurrentSince Apr 1, 2017 Accepting new patients
California Cancer Associates for Research and Excellence Inc Hematology & Oncology CurrentSince Apr 1, 2017 Accepting new patients
Texas Health Presbyterian Hospital Dallas Past Accepting new patients
MD on Call PA Internal Medicine Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

326 Santa Fe Dr
Ste 105
Encinitas, CA 92024
Phone (760) 452-3340

7130 N Millbrook Ave
Fresno, CA 93720
Phone (559) 326-1222

1791 E Fir Ave
Fresno, CA 93720
Phone (559) 326-1222

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

9850 Genesee Ave
Ste 560
La Jolla, CA 92037
Phone (858) 452-0306

16918 Dove Canyon Rd
Ste 103
San Diego, CA 92127
Phone (858) 649-5100

12998 Hesperia Rd
Ste 204
Victorville, CA 92395
Phone (760) 780-4960

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: eflores28224@scrippshlth.medalliesdirect.net
  • Direct secure messaging: edna.flores@ccare.direct.varian.com
  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1396994604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 E FIR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203840",
            "telephone_number": "559-326-1238",
            "fax_number": "559-326-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 560",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371229",
            "telephone_number": "858-552-1410",
            "fax_number": "858-552-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "EDNA",
        "middle_name": "IRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N0768",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "312009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214754801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.