Jose M Flores, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 75765 Issued in CA

Practice address

15957 Randall Ave Apt 29
Fontana, CA 92335-4465

Phone

(909) 429-0829

NPI assigned

Dec 21, 2013

Last updated

Dec 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1387584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387584000000",
    "number": "1669893426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N PACIFIC COAST HWY STE 200A",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902777702",
            "telephone_number": "310-316-1610",
            "fax_number": "310-316-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15957 RANDALL AVE APT 29",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923354465",
            "telephone_number": "909-429-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-21",
        "last_updated": "2013-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 75765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aracely Flores
• Denise Flores
• Douglas J. Flores, MD
• Jason Timbol Flores, O.D.
• John Rene Flores, PHARMD
• Rachel Flores, RD
• Robert Manuel Flores
• Wendy Flores, CRNA
• Charles Thomas Flowers, DDS
• Jennifer A Foland, CRNA

• Marriage & Family Therapist in Fontana, CA
• Providers in Fontana, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2013; 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.