Active NPI
Jessica Flores, RDH, BSDH
- Dental Hygienist
- East Los Angeles, CA
National Provider Identifier
1558022418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 29682
- Practice address
- 4816 E 3Rd St
East Los Angeles, CA 90022-1602 - Phone
- (323) 366-6131
- NPI assigned
- Jan 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 29682 | CA | Primary |
Addresses
Primary practice location
4816 E 3Rd St
East Los Angeles, CA 90022-1602
Mailing address
4816 E 3Rd St
East Los Angeles, CA 90022-1602
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | securerecords.sanford.html |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29682 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1558022418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4816 E 3RD ST",
"city": "EAST LOS ANGELES",
"state": "CA",
"postal_code": "900221602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4816 E 3RD ST",
"city": "EAST LOS ANGELES",
"state": "CA",
"postal_code": "900221602",
"telephone_number": "323-366-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "JESSICA",
"credential": "RDH, BSDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "29682",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "4816 E 3rd St",
"city": "East Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900221602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in East Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.