Active NPI
Jason Harris Solomon, M.D.
- Specialist
- Roseville, CA
National Provider Identifier
1003831033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G42591
- Practice address
- 959 Reserve Drive
Roseville, CA 95678 - Phone
- (916) 961-2083
- Fax
- (916) 782-8662
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G42591 | CA | Primary |
Addresses
Primary practice location
959 Reserve Drive
Roseville, CA 95678
Mailing address
959 Reserve Drive
Roseville, CA 95678
Phone (916) 961-2083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0G425910 | Medicaid | CA |
Other names 1
- Jason Harris Solomon
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G42591 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1003831033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "959 RESERVE DRIVE",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95678",
"telephone_number": "916-961-2083",
"fax_number": "916-782-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 RESERVE DRIVE",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95678",
"telephone_number": "916-961-2083",
"fax_number": "916-782-8662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "JASON",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G42591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0G425910",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JASON",
"last_name": "SOLOMON",
"middle_name": "HARRIS",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.