DIVINA GRACIA DE JESUS FLORES MD
NPI 1609948454
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fairfield, CA
About Divina Gracia De Jesus Flores Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINA GRACIA DE JESUS FLORES MD (NPI 1609948454) is an individual child & adolescent psychiatry provider in Fairfield, California, licensed in California (A75782) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Divina Gracia De Jesus Flores Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Divina Gracia Flores reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Divina Gracia Flores's NPI number?
The NPI number for Divina Gracia Flores is 1609948454. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Divina Gracia Vallesteros De Jesus.
Where is Divina Gracia Flores located?
Divina Gracia Flores practices at 275 Beck Ave, Fairfield, CA 94533. The listed phone number is (707) 784-8407.
What is Divina Gracia Flores's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Divina Gracia Flores enrolled in Medicare?
Yes. Divina Gracia Flores is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Divina Gracia Flores's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Divina Gracia Flores reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Divina Gracia Flores's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Divina Gracia Flores was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Divina Gracia De Jesus Flores, MD · NPI 1609948454
Child & Adolescent Psychiatry physician in Fairfield, California. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1609948454 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** A75782 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 275 BECK AVE, Fairfield, CA 94533-6804
- **Phone:** (707) 784-8407
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2026
- **Other identifiers:** Medicaid 00A757820 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609948454) · Data from the CMS NPPES public registry.