Jay Stephen Flocks, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G24921 Issued in CA

Practice address

1012 Skylark Dr
La Jolla, CA 92037-7733

Phone

(858) 459-0778

Fax

(858) 454-9972

NPI assigned

Apr 10, 2013

Last updated

Apr 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1952744849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 SKYLARK DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377733",
            "telephone_number": "858-459-0778",
            "fax_number": "858-454-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 SKYLARK DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377733",
            "telephone_number": "858-459-0778",
            "fax_number": "858-454-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOCKS",
        "first_name": "JAY",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G24921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Fleisher, M.D.
• Jill Catherine Fleming, MFT
• Eden Fletcher, PA-C
• William Caesar Fletes, MD
• Arnold Leab Flick, M.D.
• Norma Flood, R.D.
• Flores Chiropractic Inc
• Ana Jazmin Flores Pimentel
• Edna Iris Flores, M.D.
• Lindsay Elizabeth Florian, PA-C

• Psychiatry Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.