Active NPI
Robert O Flores MD Inc
- Family Medicine Physician
- San Fernando, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G40429
- Legal business name
- ROBERT O FLORES MD INC
- Practice address
- 11273 Laurel Canyon Blvd
Suite 1
San Fernando, CA 91340-4300 - Phone
- (818) 365-3978
- NPI assigned
- Sep 7, 2007
- Last updated
- Jul 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Orlando Flores
- Title
- Owner
- Phone
- (818) 365-3978
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G40429 | CA | Primary |
Addresses
Primary practice location
11273 Laurel Canyon Blvd
Suite 1
San Fernando, CA 91340-4300
Mailing address
11273 Laurel Canyon Blvd
Suite 1
San Fernando, CA 91340-4300
Phone (818) 365-3978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0558550 | Robert Flores MD Inc | Certificate of waiver | Jan 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
9566 Sepulveda Blvd
North Hills, CA 91343
Phone (818) 892-8665
11273 Laurel Canyon Blvd
San Fernando, CA 91340
Phone (818) 365-3978
11273 Laurel Canyon Blvd
Ste 1
San Fernando, CA 91340
Phone (818) 365-3978
11441 Ventura Blvd
Studio City, CA 91604
Phone (818) 920-8200
8647 Fenwick St
Sunland, CA 91040
Phone (818) 352-1421
13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- San Fernando, CA
- NPI 1932162013
-
- Family Nurse Practitioner
- Panorama City, CA
- NPI 1235373473
-
- Primary Podiatric Medicine Podiatrist
- Woodland Hills, CA
- NPI 1114055654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279670400000",
"number": "1710172382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11273 LAUREL CANYON BLVD",
"address_2": "SUITE 1",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404300",
"telephone_number": "818-365-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11273 LAUREL CANYON BLVD",
"address_2": "SUITE 1",
"city": "SAN FERNANDO",
"state": "CA",
"postal_code": "913404300",
"telephone_number": "818-365-3978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT O FLORES MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2010-07-21",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ORLANDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-365-3978"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G40429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Fernando, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.