Individual provider Active NPI

Angelina Flores, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Commerce, CA
National Provider Identifier
1831527506
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA22978 Issued in CA
Practice address
6001 E Washington Blvd
Commerce, CA 90040-2451
Phone
(562) 928-9600
Fax
(323) 477-1738
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA22978 CA Primary

Addresses

Primary practice location

6001 E Washington Blvd
Commerce, CA 90040-2451

Mailing address

6001 E Washington Blvd
Commerce, CA 90040-2451
Phone (562) 928-9600

Other practice location 1

PIH Health Family Medicine
15725 E. Whittier Blvd., #400
Whittier, CA 90603-2338
Phone (562) 947-1669

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821001575 CA Practitioner - Physician Assistant 1951621069 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
22978CAMDDentist
PA22978CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince Jul 4, 2018 Accepting new patients
Pih Health Physicians CurrentSince Jul 4, 2018 Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

15725 Whittier Blvd
Whittier, CA 90603
Phone (562) 448-1350

15725 Whittier Blvd
Ste 400
Whittier, CA 90603
Phone (562) 947-1669

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: angelina.flores.p1@direct.fhccgla.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1831527506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 E WASHINGTON BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402451",
            "telephone_number": "562-928-9600",
            "fax_number": "323-477-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 E WASHINGTON BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900402451",
            "telephone_number": "562-928-9600",
            "fax_number": "323-477-1738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PIH Health Family Medicine",
            "address_2": "15725 E. Whittier Blvd., #400",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906032338",
            "country_code": "US",
            "telephone_number": "562-947-1669",
            "fax_number": "562-464-5134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "ANGELINA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

Verify at the official NPI Registry.