Active NPI
Jovan Flores
- Physical Therapist
- Merced, CA
National Provider Identifier
1942907159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 303635
- Practice address
- 123 S N St
Merced, CA 95341-6818 - Phone
- (559) 706-2725
- NPI assigned
- Feb 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 303635 | CA | Primary |
Addresses
Primary practice location
123 S N St
Merced, CA 95341-6818
Mailing address
1951 Rogina Ave
Merced, CA 95341-7509
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303635 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1942907159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 ROGINA AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "953417509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S N ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953416818",
"telephone_number": "559-706-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "JOVAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-08",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.