Individual provider Active NPI

Jose Israel Flores

  • Physical Therapist
  • San Marcos, CA
National Provider Identifier
1669063665
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299804 Issued in CA
Practice address
1138 Via Vera Cruz
San Marcos, CA 92078-1379
Phone
(415) 577-1079
NPI assigned
Feb 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 299804 CA Primary

Addresses

Primary practice location

1138 Via Vera Cruz
San Marcos, CA 92078-1379

Mailing address

1138 Via Vera Cruz
San Marcos, CA 92078-1379
Phone (415) 577-1079

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210302003005 CA Practitioner - Physical Therapist in Private Practice 7911313739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Proactive Physical Therapy and Sports Medicine IncGroup PAC ID 1557369436, 51 clinicians

Practice addresses (Care Compare)

6070 Avenida Encinas
Suite 100
Carlsbad, CA 92011-1001
Phone (760) 444-0102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings PLLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients

Locations

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

2345 E 8th St
Ste 106
National City, CA 91950
Phone (619) 323-2040

3665 Ruffin Rd
Ste 304
San Diego, CA 92123
Phone (619) 930-9750

17150 Via del Campo
Ste 200
San Diego, CA 92127
Phone (858) 381-5084

380 S Melrose Dr
Ste 208
Vista, CA 92081
Phone (760) 643-4086

2720 Western Center Blvd
Ste 312
Fort Worth, TX 76131
Phone (817) 847-0200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1669063665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 VIA VERA CRUZ",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781379",
            "telephone_number": "415-577-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 VIA VERA CRUZ",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781379",
            "telephone_number": "415-577-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JOSE",
        "middle_name": "ISRAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.