Individual provider Active NPI

George Raymond Flores, MD, MPH

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1962694596
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C 39195 Issued in CA
Practice address
101 2ND St
24TH Floor
San Francisco, CA 94105-3672
Phone
(415) 356-4645
Fax
(415) 343-0220
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C 39195 CA Primary
Public Health & General Preventive Medicine Physician 2083P0901X C 39195 CA

Addresses

Primary practice location

101 2ND St
24TH Floor
San Francisco, CA 94105-3672

Mailing address

101 2ND St
24TH Floor
San Francisco, CA 94105-3672
Phone (415) 356-4645

Other identifiers 1

IdentifierTypeStateIssuer
C 39195OtherCACALIFORNIA MD LICENSE

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C 39195CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1962694596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 2ND ST",
            "address_2": "24TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053672",
            "telephone_number": "415-356-4645",
            "fax_number": "415-343-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 2ND ST",
            "address_2": "24TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053672",
            "telephone_number": "415-356-4645",
            "fax_number": "415-343-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "GEORGE",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C 39195",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "C 39195",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MD LICENSE",
            "identifier": "C 39195",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.