DESIRAE FLORES (NPI# 1881881803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881881803 |
| Entity Type | Individual |
| Full Name | DESIRAE FLORES |
| Credential | ADC |
| Practice Address |
24384 Sunnymead Blvd Moreno Valley CA 92553-3069 |
| Mailing Address |
24384 Sunnymead Blvd. Moreno Valley CA 92553 |
| Practice Telephone | 9512430303 |
| Practice Fax Number | 9512433006 |
| Mailing Telephone | 9512430303 |
| Mailing Fax Number | 9512433006 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
24384 SUNNYMEAD BLVD |
| City | MORENO VALLEY |
| State | CA |
| Zip Code | 92553-3069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578763710 | Valentin Lopez | Counselor | 24384 Sunnymead Blvd, Suite 240, Moreno Valley, CA 92553-3069 | 2007-07-24 |
| 1528314549 | Tori L Ramirez | Counselor | 24384 Sunnymead Blvd, Suite 240, Moreno Valley, CA 92553 | 2012-07-27 |
| 1609144625 | Rhiannon Marie Pataky | Counselor | 24384 Sunnymead Blvd, Suite 240, Moreno Valley, CA 92553-3069 | 2011-12-05 |
| 1265728901 | Immaculate Care Center,inc | Community/Behavioral Health | 24384 Sunnymead Blvd, Suite 240, Moreno Valley, CA 92553-3069 | 2011-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
| 1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
| 1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
| 1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
| 1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
| 1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
| 1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
| 1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
| 1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
| 1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
| Find all providers in zip 92553 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265990386 | Krystal Elvia Cancelada | Counselor | 23119 Cottonwood Ave Ste 101, Moreno Valley, CA 92553-9661 | 2019-03-07 |
| 1184112179 | Ta Tanisha Jones | Counselor | 21250 Box Springs Rd Ste 203, Moreno Valley, CA 92557-8712 | 2018-04-25 |
| 1710362751 | Roy Geter | Counselor | 12950 Perris Blvd Ste 310, Moreno Valley, CA 92553-2368 | 2015-07-20 |
| 1508116518 | Siamak Ehteshamzadeh | Counselor | 25320 Lurin Ave, Moreno Valley, CA 92551-2405 | 2012-09-17 |
| 1578763710 | Valentin Lopez | Counselor | 24384 Sunnymead Blvd, Suite 240, Moreno Valley, CA 92553-3069 | 2007-07-24 |
| 1528195609 | Immaculate Care Centr Inc. | Counselor | 24384 Sunnymead Blvd Ste 240, Moreno Valley, CA 92553-7765 | 2007-02-27 |
| 1497898498 | Guadalupe Madrigal | Counselor | 23119 Cottonwood Ave Ste A100, Moreno Valley, CA 92553-9661 | 2007-02-15 |
| 1124636246 | Marie Therese Fonseca | Counselor | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2020-07-15 |
| 1457912768 | Charles Romaine Truslow | Counselor | 23119 Cottonwood Ave, Moreno Valley, CA 92553-9661 | 2019-06-26 |
| 1215461835 | Williemae Maciel | Counselor | 23119 Cottonwood Ave, Moreno Valley, CA 92553-9661 | 2017-04-20 |
| Find all providers in MORENO VALLEY | ||||
| City | MORENO VALLEY |
| Zip Code | 92553 |
Please comment or provide details below to improve the information on DESIRAE FLORES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.