John Aceves Flores, 09/11/2017

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1-F1109112058 Issued in CA

Practice address

656 N Park Ave
Pomona, CA 91768-3679

Phone

(909) 629-4084

NPI assigned

Oct 20, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• John Aceves Flores Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Social Model Recovery Systems, Inc.

  dba NCADD of ESG & PV

  • Community/Behavioral Health Agency
  • Pomona, CA
  • NPI 1447615539

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1477004802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 N PARK AVE",
            "address_2": "NCADD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91768",
            "telephone_number": "909-629-4084",
            "fax_number": "909-629-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683679",
            "telephone_number": "909-629-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JOHN",
        "middle_name": "ACEVES",
        "name_prefix": "Mr.",
        "credential": "09/11/2017",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1-F1109112058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "FLORES",
            "middle_name": "ACEVES",
            "credential": "R1-F1109112058",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassandra Nichole Flores
• Charisma Flores, RBT
• Crystabel Flores
• Francine Flores
• Jessica Flores
• Jose Trinidad Flores, RAC
• Linda Priscilla Flores
• Maria R Flores
• Marisa Revel Flores, PSY.D.
• Matthew Jose Flores

• Addiction (Substance Use Disorder) Counselor in Pomona, CA
• Providers in Pomona, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.