NPIMap

Individual provider Active NPI

Elizabeth Caroline Flores

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1497489157
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64747 Issued in CA
Practice address
1919 S San Pedro St
Los Angeles, CA 90011-1121
Phone
(760) 265-0212
NPI assigned
Jul 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA64747 CA Primary

Addresses

Primary practice location

1919 S San Pedro St
Los Angeles, CA 90011-1121

Mailing address

1243 S Olive St Apt 256
Los Angeles, CA 90015-3687
Phone (760) 265-0212

Other practice location 1

1243 S Olive St Apt 256
Los Angeles, CA 90015-3687
Phone (760) 265-0212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930000948 CA Practitioner - Physician Assistant 6406387638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Southern California Keck School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unicare Community Health Center, Inc.Group PAC ID 8426369067, 64 clinicians

Practice addresses (Care Compare)

11919 Hesperia Rd
Hesperia, CA 92345-2158
Phone (760) 948-1454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA64747CAMDPhysician Assistant

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Unicare Community Health Center, Inc. CurrentSince Feb 16, 2026 Accepting new patients
Unicare Community Health Center, Inc. CurrentSince Feb 16, 2026 Accepting new patients

Locations

11919 Hesperia Rd
Hesperia, CA 92345
Phone (760) 948-1454

437 N Euclid Ave
Ontario, CA 91762
Phone (909) 749-1835

1501 E Holt Ave
Ste A
Pomona, CA 91767
Phone (909) 623-3600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1497489157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S OLIVE ST APT 256",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153687",
            "telephone_number": "760-265-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S SAN PEDRO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900111121",
            "telephone_number": "760-265-0212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1243 S Olive St Apt 256",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153687",
            "country_code": "US",
            "telephone_number": "760-265-0212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ELIZABETH",
        "middle_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.