St Nicholas Medical Group
NPI 1891026100ActiveOrganization· Internal Medicine, Geriatric Medicine· Los Angeles, CA
Internal Medicine, Geriatric Medicine in Los Angeles, California, registered in NPPES in January 2010. The authorized official on file is Jacob N. Flores, MD, Partner.
Overview
| NPI | 1891026100 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2010 |
| Last updated in NPPES | Aug 26, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | A60865 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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