Individual provider Active NPI

Jose Luis Flores, MD

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1700945136
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A69861 Issued in CA
Practice address
1350 O St Ste 202
Fresno, CA 93721-1828
Phone
(559) 369-4625
NPI assigned
Dec 8, 2006
Last updated
Jul 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A69861 CA Primary

Addresses

Primary practice location

1350 O St Ste 202
Fresno, CA 93721-1828

Mailing address

63 Rosewood Cir
Madera, CA 93637-2673
Phone (559) 674-8657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913001397 CA Practitioner - Family Practice 7214904887 Practice locations: Sanger, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bautista Rural Medical Clinics, Inc.Group PAC ID 0840100301, 2 clinicians

Practice addresses (Care Compare)

2570 Jensen Ave
Suite 106
Sanger, CA 93657-2269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A69861CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairchild Medical Group Family Medicine Past Accepting new patients
Clovis Urgent Care Medical Center Past Accepting new patients
Dignity Health Medical Foundation PastSince Mar 16, 2021 Accepting new patients
Bautista Health Care, Inc. Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine PastSince Jun 1, 2009 Accepting new patients
Oakdale Medical Group Inc Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1700945136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ROSEWOOD CIR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936372673",
            "telephone_number": "559-674-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 O ST STE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211828",
            "telephone_number": "559-369-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.