NPIMap

Individual provider Active NPI

Kathleen Melocoton Flores-Dahms, M.D.

  • Diagnostic Radiology Physician
  • Vista, CA
National Provider Identifier
1750487773
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A54880 Issued in CA
Practice address
410 S Melrose Dr
Suite 104
Vista, CA 92081-6642
Phone
(760) 806-4355
Fax
(760) 806-4363
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A54880 CA Primary

Addresses

Primary practice location

410 S Melrose Dr
Suite 104
Vista, CA 92081-6642

Mailing address

2529 Quidde Ave
San Diego, CA 92122-4024
Phone (858) 638-4194

Other names 1

  • Kathleen Melocoton Flores Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050707000295 CA Practitioner - Diagnostic Radiology 5496791832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone (858) 554-9100

300 Fir St
San Diego, CA 92101-2327
Phone (848) 499-2600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54880CAMDPharmacist
A54880CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Mar 31, 2018 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Mar 31, 2018 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Dec 4, 2017 Accepting new patients
Scripps Health CurrentSince Dec 4, 2017 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Current Accepting new patients
Palomar Health Past Accepting new patients
Tri-City Hospital Past Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients
Scripps Health Past Accepting new patients
North County Radiology Medical Group Diagnostic Radiology Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

15611 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

300 Fir St
San Diego, CA 92101
Phone (619) 446-1586

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Interoperability endpoints

  • Direct secure messaging: kfloresdahms43623@scrippshlth.medalliesdirect.net

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1750487773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 QUIDDE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224024",
            "telephone_number": "858-638-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S MELROSE DR",
            "address_2": "SUITE 104",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816642",
            "telephone_number": "760-806-4355",
            "fax_number": "760-806-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES-DAHMS",
        "first_name": "KATHLEEN",
        "middle_name": "MELOCOTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A54880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "FLORES",
            "middle_name": "MELOCOTON",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.