Organization Active NPI

Robert O Flores MD Inc

  • Family Medicine Physician
  • San Fernando, CA
National Provider Identifier
1710172382
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G40429 Issued in CA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Robert Orlando FloresNPI 1932162013
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20100817001258 CA Part B Supplier - Clinic/Group Practice 3173657897 Receives reassigned benefits from 1 practitioner
Practice locations: San Fernando, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0558550Robert Flores MD Inc11273 Laurel Canyon Blvd, San Fernando, CA 91340Certificate of waiverJan 4, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.