Individual provider Active NPI

Debbie Lo Flores, PA-C

  • Medical Physician Assistant
  • San Diego, CA
National Provider Identifier
1932422698
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20216 Issued in CA
Practice address
5030 Camino de la Siesta Ste 204
San Diego, CA 92108-3118
Phone
(858) 514-3700
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1163 NV
Medical Physician Assistant 363AM0700X PA20216 CA Primary

Addresses

Primary practice location

5030 Camino de la Siesta Ste 204
San Diego, CA 92108-3118

Mailing address

5030 Camino de la Siesta Ste 204
San Diego, CA 92108-3118
Phone (858) 514-3700

Other practice location 1

5233 E Beverly Blvd
Los Angeles, CA 90022-2020
Phone (323) 724-0019

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20216CAMDMedical Physician Assistant
PA1163NVMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: dflores120479@sharphealthcare.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932422698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083118",
            "telephone_number": "858-514-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083118",
            "telephone_number": "858-514-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5233 E Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900222020",
            "country_code": "US",
            "telephone_number": "323-724-0019",
            "fax_number": "323-724-3539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "DEBBIE",
        "middle_name": "LO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1163",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.