NPIMap

Organization Active NPI

James H Flores Jr MD Inc

Doing business as Peninsula Medica Group

  • Multi-Specialty Clinic/Center
  • Rolling Hills Estates, CA
National Provider Identifier
1730428004
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
G067438 Issued in CA
Legal business name
JAMES H FLORES JR MD INC
Doing business as
Peninsula Medica Group
Practice address
827 Deep Valley Dr
Suite #310
Rolling Hills Estates, CA 90274-3647
Phone
(310) 544-0828
Fax
(310) 377-5536
NPI assigned
Feb 6, 2013
Last updated
Feb 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Dr. James Henry Flores Jr., MDNPI 1720166481
Title
Owner
Phone
(310) 544-0828

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
Multi-Specialty Clinic/Center 261QM1300X G067438 CA Primary

Addresses

Primary practice location

827 Deep Valley Dr
Suite #310
Rolling Hills Estates, CA 90274-3647

Mailing address

827 Deep Valley Dr
Suite #310
Rolling Hills Estates, CA 90274-3647
Phone (310) 544-0828

Other identifiers 2

IdentifierTypeStateIssuer
1720166481OtherNPI
F11432OtherUPIN

Other names 1

  • Peninsula Medica Group Doing business as

National Provider Directory

National Provider Directory

Locations

827 Deep Valley Dr
Rolling Hills Estates, CA 90274

Practitioners & affiliated clinicians

Practitioners 5

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": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1730428004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "SUITE #310",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743647",
            "telephone_number": "310-544-0828",
            "fax_number": "310-377-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "SUITE #310",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743647",
            "telephone_number": "310-544-0828",
            "fax_number": "310-377-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H FLORES JR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-544-0828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "G067438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720166481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F11432",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Medica Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.