Active NPI
Ricardo R Flores, MD
- Pediatric Pulmonology Physician
- Santa Maria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 58554
- Practice address
- 1400 East Church Street
Building 8
Santa Maria, CA 93454-5906 - Phone
- (805) 739-3561
- Fax
- (805) 739-3560
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 58554 | CA | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 01077810A | IN |
Addresses
Primary practice location
1400 East Church Street
Building 8
Santa Maria, CA 93454-5906
Mailing address
117 W Bunny Ave
Santa Maria, CA 93458-2805
Phone (805) 739-3561
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201410220 | Medicaid | IN | |
| CB245285 | Other | CA | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01077810A | IN | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Pacific Central Coast Health Centers | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients |
Locations
300 S Stratford Ave
Santa Maria, CA 93454
Phone (805) 347-2100
1400 E Church St
Bldg 8
Santa Maria, CA 93454
Phone (800) 739-3561
220 S Palisade Dr
Ste 203
Santa Maria, CA 93454
Phone (805) 354-7101
504 Plaza Dr
Ste 1
Santa Maria, CA 93454
Phone (805) 739-3830
117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474
1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 8
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.
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1063496651
-
- Community Health Clinic/Center
- Santa Maria, CA
- NPI 1225307317
-
- Community Health Clinic/Center
- Arroyo Grande, CA
- NPI 1831764117
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- Community Health Clinic/Center
- Nipomo, CA
- NPI 1417555061
-
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1790769479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W BUNNY AVE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934582805",
"telephone_number": "805-739-3561",
"fax_number": "805-739-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 EAST CHURCH STREET",
"address_2": "BUILDING 8",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934545906",
"telephone_number": "805-739-3561",
"fax_number": "805-739-3560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "RICARDO",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "CA",
"license": "58554",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IN",
"license": "01077810A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201410220",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "CB245285",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.