Organization Active NPI

Frank B Flint MD Medical Corp

  • Surgery Physician
  • Lakeside, CA
National Provider Identifier
1619254562
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C25362 Issued in CA
Legal business name
FRANK B FLINT MD MEDICAL CORP
Practice address
11822 Northill Ter
Lakeside, CA 92040-3723
Phone
(619) 440-2427
Fax
(619) 447-7310
NPI assigned
Nov 7, 2011
Last updated
Feb 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Frank Bryce Flint, MD.
Title
President
Phone
(619) 440-2427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C25362 CA Primary

Addresses

Primary practice location

11822 Northill Ter
Lakeside, CA 92040-3723

Mailing address

PO Box 12557
El Cajon, CA 92022-2557
Phone (619) 440-2427

Other identifiers 1

IdentifierTypeStateIssuer
00C253620MedicaidCA

National Provider Directory

National Provider Directory

Locations

860 Jamacha Rd
Ste 205
El Cajon, CA 92019
Phone (619) 440-2427

NPI Registry JSON

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1619254562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12557",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920222557",
            "telephone_number": "619-440-2427",
            "fax_number": "619-447-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11822 NORTHILL TER",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920403723",
            "telephone_number": "619-440-2427",
            "fax_number": "619-447-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK B FLINT MD MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "FLINT",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "BRYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-440-2427",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C25362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C253620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.