Active NPI
Marie Elizabeth Sharp Flores, MD, PHD, MPH
- Family Medicine Physician
- Pico Rivera, CA
National Provider Identifier
1912264433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 137398
- Practice address
- 9436 Slauson Ave
Pico Rivera, CA 90660-4748 - Phone
- (562) 949-6069
- NPI assigned
- Apr 22, 2012
- Last updated
- Mar 7, 2023
- 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 Medicine Physician | 207Q00000X | 137398 | CA | Primary |
Addresses
Primary practice location
9436 Slauson Ave
Pico Rivera, CA 90660-4748
Mailing address
9436 Slauson Ave
Pico Rivera, CA 90660-4748
Phone (562) 949-6069
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137398 | Other | CA | CA STATE MEDICAL LICENSE |
| 109427 | Other | CIVIL SURGEON ID# |
Other names 1
- Marie Elizabeth Sharp
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 |
|---|---|---|---|---|
| I20151125000970 | CA | Order and Referring Only - Family Practice | 5092015982 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137398 | CA | MD | Family Medicine Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mflores41197@altamed.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1912264433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9436 SLAUSON AVE",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906604748",
"telephone_number": "562-949-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9436 SLAUSON AVE",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906604748",
"telephone_number": "562-949-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "MARIE",
"middle_name": "ELIZABETH SHARP",
"name_prefix": "Dr.",
"credential": "MD, PHD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-22",
"last_updated": "2023-03-07",
"certification_date": "2021-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "137398",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE MEDICAL LICENSE",
"identifier": "137398",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIVIL SURGEON ID#",
"identifier": "109427",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "SHARP",
"middle_name": "ELIZABETH",
"credential": "MD, PHD, MPH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.