Active NPI
Dominique Flores
- Speech-Language Pathologist
- San Francisco, CA
National Provider Identifier
1679979645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 23829
- Practice address
- 505 Parnassus Ave
San Francisco, CA 94143 - Phone
- (415) 476-1000
- NPI assigned
- Nov 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 23829 | CA | Primary |
Addresses
Primary practice location
505 Parnassus Ave
San Francisco, CA 94143
Mailing address
2270 46TH Ave
San Francisco, CA 94116-1507
Phone (415) 321-0974
Other practice location 1
10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (951) 353-4759
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9679 | CA | MD | Clinical Social Worker |
| 23829 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531440000000",
"number": "1679979645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2270 46TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161507",
"telephone_number": "415-321-0974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94143",
"telephone_number": "415-476-1000"
}
],
"practiceLocations": [
{
"address_1": "10800 Magnolia Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925053043",
"country_code": "US",
"telephone_number": "951-353-4759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES",
"first_name": "DOMINIQUE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2018-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "23829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.