Individual provider Active NPI

Sandra Tiscareno Flores

  • School Counselor
  • Stockton, CA
National Provider Identifier
1740019074
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Practice address
9275 Glacier Point Dr
Stockton, CA 95212-3494
Phone
(209) 953-9601
NPI assigned
Jul 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X Primary

Addresses

Primary practice location

9275 Glacier Point Dr
Stockton, CA 95212-3494

Mailing address

612 Crow Creek Dr
Galt, CA 95632-2182
Phone (209) 712-1620

Other practice location 1

612 Crow Creek Dr
Galt, CA 95632-2182
Phone (209) 712-1620

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

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1740019074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 CROW CREEK DR",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956322182",
            "telephone_number": "209-712-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 GLACIER POINT DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952123494",
            "telephone_number": "209-953-9601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Crow Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Galt",
            "state": "CA",
            "postal_code": "956322182",
            "country_code": "US",
            "telephone_number": "209-712-1620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "SANDRA",
        "middle_name": "TISCARENO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.