Active NPI
Sherry Santos Flores, LEP 4488
- School Psychologist
- San Jose, CA
National Provider Identifier
1639985427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4488
- Practice address
- 1261 Lincoln Ave Ste 104
San Jose, CA 95125-3030 - Phone
- (408) 439-1111
- NPI assigned
- Dec 5, 2024
- Last updated
- Dec 19, 2024
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4488 | CA | Primary |
Addresses
Primary practice location
1261 Lincoln Ave Ste 104
San Jose, CA 95125-3030
Mailing address
3459 Lochinvar Ave Apt 104
Santa Clara, CA 95051-5172
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 |
|---|---|---|---|
| 4488 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1639985427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3459 LOCHINVAR AVE APT 104",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950515172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1261 LINCOLN AVE STE 104",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951253030",
"telephone_number": "408-439-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "SHERRY",
"middle_name": "SANTOS",
"credential": "LEP 4488",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "4488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.