Individual provider Active NPI

Carmela Laurinaria Flores

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1538754635
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95016510 Issued in CA
Practice address
655 Saturn Blvd Ste J
San Diego, CA 92154-4734
Phone
(619) 646-7975
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95159397 CA
Nurse Practitioner 363L00000X 95016510 CA Primary

Addresses

Primary practice location

655 Saturn Blvd Ste J
San Diego, CA 92154-4734

Mailing address

655 Saturn Blvd Ste J
San Diego, CA 92154-4734
Phone (217) 819-7219

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL portal.care360.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220926001607 CA Order and Referring Only - Nurse Practitioner 5092191213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1538754635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SATURN BLVD STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921544734",
            "telephone_number": "217-819-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SATURN BLVD STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921544734",
            "telephone_number": "619-646-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "CARMELA",
        "middle_name": "LAURINARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95159397",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "portal.care360.com",
            "affiliation": "N",
            "endpointDescription": "Quanum EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "655 Saturn Blvd Ste J",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921544734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.