Organization Active NPI

Flora I Danque MD Inc

  • Primary Care Clinic/Center
  • La Mesa, CA
National Provider Identifier
1679712780
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A62874 Issued in CA
Legal business name
FLORA I DANQUE MD INC
Practice address
7918 El Cajon Blvd
Suite N322
La Mesa, CA 91942-6719
Phone
(619) 441-1027
Fax
(619) 741-9422
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Dr. Flora Ishihara Danque, MDNPI 1013927425
Title
Owner
Phone
(619) 441-1027

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A62874 CA Primary
Skilled Nursing Facility 314000000X A62874 CA

Addresses

Primary practice location

7918 El Cajon Blvd
Suite N322
La Mesa, CA 91942-6719

Mailing address

7918 El Cajon Blvd
Suite N322
La Mesa, CA 91942-6719
Phone (619) 441-1027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090319000575 CA Part B Supplier - Clinic/Group Practice 2062579949 Receives reassigned benefits from 1 practitioner
Practice locations: National City, CA; San Diego, CA; Poway, CA; Lemon Grove, CA; La Mesa, CA; Encinitas, CA; El Cajon, CA; Chula Vista, CA…

National Provider Directory

National Provider Directory

Locations

1252 Broadway
Ste E
El Cajon, CA 92021
Phone (619) 440-8480

7918 El Cajon Blvd
Ste N322
La Mesa, CA 91942
Phone (619) 441-1027

1855 1st Ave
#200B
San Diego, CA 92101
Phone (619) 233-4044

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1679712780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7918 EL CAJON BLVD",
            "address_2": "SUITE N322",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426719",
            "telephone_number": "619-441-1027",
            "fax_number": "619-741-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7918 EL CAJON BLVD",
            "address_2": "SUITE N322",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426719",
            "telephone_number": "619-441-1027",
            "fax_number": "619-741-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORA I DANQUE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "DANQUE",
        "authorized_official_first_name": "FLORA",
        "authorized_official_middle_name": "ISHIHARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-441-1027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A62874",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "A62874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.