Active NPI
Eloise Flores
- Licensed Vocational Nurse
- Baldwin Park, CA
National Provider Identifier
1720779853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- VN717866
- Practice address
- 14102 Ramona Blvd
Baldwin Park, CA 91706-3138 - Phone
- (626) 337-1082
- NPI assigned
- May 18, 2023
- Last updated
- May 18, 2023
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | VN717866 | CA | Primary |
Addresses
Primary practice location
14102 Ramona Blvd
Baldwin Park, CA 91706-3138
Mailing address
133 S Avenue 56
Los Angeles, CA 90042-4607
Phone (773) 704-9527
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VN717866 | CA | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1720779853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 S AVENUE 56",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900424607",
"telephone_number": "773-704-9527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14102 RAMONA BLVD",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917063138",
"telephone_number": "626-337-1082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "ELOISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "VN717866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baldwin Park, CA
- First Ventures,Inc (Ramona Adult Day Health Care Center)
- Firstsight Vision Services, Inc.
- Syndia Susan Fisher, PT
- Reginald Edward Flenory Jr.
- Marlene Yesenia Flores-Avila, LCSW
- Natalie Elizabeth Flores
- Anna Michelle Fong, MD
- Donald S. Fong, MD
- Edith Fong, LCSW
- Foothill Care Center, Inc. (Golden State Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.