Individual provider Active NPI

Carlos A Flores, MD.

  • Obstetrics & Gynecology Physician
  • Panorama City, CA
National Provider Identifier
1407880040
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A41653 Issued in CA
Practice address
14673 Parthenia St Ste 101
Panorama City, CA 91402-2991
Phone
(818) 785-7300
Fax
(818) 785-2775
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A41653 CA
Obstetrics & Gynecology Physician 207V00000X A41653 CA Primary

Addresses

Primary practice location

14673 Parthenia St Ste 101
Panorama City, CA 91402-2991

Mailing address

14673 Parthenia St Ste 101
Panorama City, CA 91402-2991
Phone (818) 785-7300

Other identifiers 2

IdentifierTypeStateIssuer
00A416531MedicaidCA
00A416530MedicaidCA

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
I20040105000819 CA Practitioner - Obstetrics/Gynecology 5496654808 Practice locations: Panorama City, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14673 Parthenia St
Suite 101
Panorama City, CA 91402-2991
Phone (818) 785-7300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacifica of the Valley Corporation Past Accepting new patients
James D. Thomas, M.D. P C Specialist Past Accepting new patients
Aron L Rotman, M.D. a Professional Corp Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1407880040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14673 PARTHENIA ST STE 101",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022991",
            "telephone_number": "818-785-7300",
            "fax_number": "818-785-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14673 PARTHENIA ST STE 101",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914022991",
            "telephone_number": "818-785-7300",
            "fax_number": "818-785-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A41653",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A41653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A416531",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A416530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panorama City, CA

Sources for this page

Verify at the official NPI Registry.