Active NPI
Rosemary Flores, M.D.
- Specialist
- Thousand Oaks, CA
National Provider Identifier
1871593095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A63292
- Practice address
- 3180 Willow LN
#200
Thousand Oaks, CA 91361-4941 - Phone
- (805) 497-3239
- Fax
- (805) 497-3110
- NPI assigned
- Jul 29, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A63292 | CA | Primary |
Addresses
Primary practice location
3180 Willow LN
#200
Thousand Oaks, CA 91361-4941
Mailing address
3180 Willow LN
#200
Thousand Oaks, CA 91361-4941
Phone (805) 497-3239
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040120001093 | CA | Practitioner - Family Practice | 1456252543 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Stanford University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
2200 E Gonzales Rd
Oxnard, CA 93036-0619
Phone (805) 988-8100
888 S Hill Rd
Ventura, CA 93003-8400
Phone (805) 477-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A63292 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Health and Wellness Alternatives Inc | Past | Accepting new patients | |
| Conejo Medical & Beast Care Center | Past | Accepting new patients |
Locations
888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400
5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000
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.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
CA
-
- Health Maintenance Organization
- Woodland Hills, CA
- NPI 1952333478
-
- Specialist
- Thousand Oaks, CA
- NPI 1376619262
CA
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
-
- Clinical Medical Laboratory
- N Hollywood, CA
- NPI 1891873303
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- General Practice Physician
- Thousand Oaks, CA
- NPI 1922155191
-
- Chiropractor
- San Diego, CA
- NPI 1386866648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1871593095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3180 WILLOW LN",
"address_2": "#200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913614941",
"telephone_number": "805-497-3239",
"fax_number": "805-497-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3180 WILLOW LN",
"address_2": "#200",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913614941",
"telephone_number": "805-497-3239",
"fax_number": "805-497-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "ROSEMARY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-29",
"last_updated": "2021-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A63292",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5601 De Soto Ave",
"city": "Woodland Hills",
"state": "CA",
"country_code": "US",
"postal_code": "913676701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.