Brandi Flores, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-304091 Issued in CA

Practice address

2212 Esmond Ave
Richmond, CA 94801-2597

Phone

(510) 334-2412

NPI assigned

Apr 3, 2014

Reactivated

Aug 20, 2021

Last updated

Aug 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Brandi Flores Professional 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brandi Flores LLC

  • Lactation Consultant (Non-RN)
  • Richmond, CA
  • NPI 1689247926

  Lactation Consultant, Non-RN

  NPD Authorized official

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1578981767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 ESMOND AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948012597",
            "telephone_number": "510-334-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 ESMOND AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948012597",
            "telephone_number": "510-334-2412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Ilene street",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "CA",
            "postal_code": "94553",
            "country_code": "US",
            "telephone_number": "510-337-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "BRANDI",
        "name_prefix": "Mrs.",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "deactivation_date": "2021-07-23",
        "reactivation_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "272144",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-304091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "FLORES",
            "credential": "IBCLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kevin Garth Flint
• Maya Alexandra Flores-Mejia
• Abel Manuel Flores, D.C.
• Amy Flores
• Anali Flores
• Carolyna Mejia Flores
• Darlin Flores
• Iliana Flores
• Renee Fogelberg, MD
• Cynthia Fong

• Lactation Consultant (Non-RN) in Richmond, CA
• Providers in Richmond, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.