Active NPI
Rizalie Subida Flores, RNP
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1750718680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 481776
- Practice address
- 2080 Century Park E.
#507
Los Angeles, CA 90067-2011 - Phone
- (310) 553-1200
- Fax
- (310) 553-1216
- NPI assigned
- Oct 10, 2013
- Last updated
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 481776 | CA | Primary |
Addresses
Primary practice location
2080 Century Park E.
#507
Los Angeles, CA 90067-2011
Mailing address
3710 Cesar Chavez Ave. 2ND Floor
Los Angeles, CA 90063-2213
Phone (323) 980-8404
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 |
|---|---|---|---|
| 481776 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Family Medical Group, Inc. | Past | Accepting new patients | |
| Century Women Medical Group | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1750718680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 CESAR CHAVEZ AVE. 2ND FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900632213",
"telephone_number": "323-980-8404",
"fax_number": "323-980-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CENTURY PARK E.",
"address_2": "#507",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900672011",
"telephone_number": "310-553-1200",
"fax_number": "310-553-1216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "RIZALIE",
"middle_name": "SUBIDA",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-10",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "481776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.