Active NPI
Joetta Lynn Solomon, RNP
- Family Nurse Practitioner
- Riverside, CA
National Provider Identifier
1083832166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13188
- Practice address
- 7117 Brockton Ave
Riverside, CA 92506-2658 - Phone
- (951) 683-6370
- Fax
- (951) 784-3269
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Bloomington, CA
- NPI 1093226243
-
- Geriatric Medicine (Internal Medicine) Physician
- Colton, CA
- NPI 1063567394
-
- Urgent Care Clinic/Center
- Riverside, CA
- NPI 1366850059
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13188 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Systems, Inc. | Past | Accepting new patients | |
| PRN Urgent Care, Inc. | Past | Accepting new patients | |
| John F. Randolph,M.D.,Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13188 | CA | Primary |
Addresses
Primary practice location
7117 Brockton Ave
Riverside, CA 92506-2658
Mailing address
8151 Arlington Ave
Suites U-V
Riverside, CA 92503-0436
Phone (951) 588-0861
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ31887Z | Other | CA | GROUP PTAN |
| EAP70324F | Other | CA | EAPC |
| HAP71040F | Medicaid | CA |
NPI Registry JSON
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1083832166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8151 ARLINGTON AVE",
"address_2": "SUITES U-V",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925030436",
"telephone_number": "951-588-0861",
"fax_number": "951-588-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062658",
"telephone_number": "951-683-6370",
"fax_number": "951-784-3269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "JOETTA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "RNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "13188",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "ZZZ31887Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EAPC",
"identifier": "EAP70324F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HAP71040F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.