Organization Active NPI

RM Flores MD Inc.

  • Internal Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1649746819
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RM FLORES MD INC.
Practice address
296 H St Ste 201
Chula Vista, CA 91910-4779
Phone
(619) 476-9054
Fax
(619) 476-9056
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Rocio M Flores, MDNPI 1881607067
Title
Owner
Phone
(619) 271-5551

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

296 H St Ste 201
Chula Vista, CA 91910-4779

Mailing address

PO Box 34082
San Diego, CA 92163-4082
Phone (619) 271-5551

Other identifiers 1

IdentifierTypeStateIssuer
00A694240MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181119000828 CA Part B Supplier - Clinic/Group Practice 5092069690 Receives reassigned benefits from 1 practitioner
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

296 H St
Ste 201
Chula Vista, CA 91910
Phone (619) 271-5551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1649746819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34082",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921634082",
            "telephone_number": "619-271-5551",
            "fax_number": "619-271-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 H ST STE 201",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104779",
            "telephone_number": "619-476-9054",
            "fax_number": "619-476-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RM FLORES MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-271-5551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A694240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.