Active NPI
Randall L Solomon, MD
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1063577955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G54903
- Practice address
- 760 Haight St
San Francisco, CA 94117-3317 - Phone
- (415) 215-8657
- Fax
- (800) 953-0140
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G54903 | CA | Primary |
Addresses
Primary practice location
760 Haight St
San Francisco, CA 94117-3317
Mailing address
3145 Geary Blvd
#750
San Francisco, CA 94118-3316
Phone (415) 215-8657
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 |
|---|---|---|---|
| G54903 | CA | MD | Psychiatry Physician |
| 54903 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381190400000",
"number": "1063577955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3145 GEARY BLVD",
"address_2": "#750",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941183316",
"telephone_number": "415-215-8657",
"fax_number": "800-953-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 HAIGHT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941173317",
"telephone_number": "415-215-8657",
"fax_number": "800-953-0140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "RANDALL",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2013-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G54903",
"primary": true
}
],
"identifiers": [],
"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 Oct 8, 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.