Individual provider Active NPI

Germin Soliman, D.O.

  • Internal Medicine Physician
  • North Tustin, CA
National Provider Identifier
1093737892
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A8490 Issued in CA
Practice address
12231 Newport Ave
North Tustin, CA 92705-3205
Phone
(949) 640-0635
Fax
(714) 730-8250
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A8490 CA Primary

Addresses

Primary practice location

12231 Newport Ave
North Tustin, CA 92705-3205

Mailing address

PO Box 1904
Suisun City, CA 94585-4904
Phone (657) 241-3600

Other identifiers 1

IdentifierTypeStateIssuer
W20A8490COtherCAMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address germin.soliman.p97@direct.nautilus.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108000664 CA Practitioner - Internal MedicinePractitioner - Family Practice 6608839972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine Physicians of Newport Beach IncGroup PAC ID 2567531791, 2 clinicians

Practice addresses (Care Compare)

12231 Newport Ave
North Tustin, CA 92705-3205
Phone (949) 640-0635

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8490CAMDAcupuncturist
20A8490CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Physicians of Newport Beach, Inc. Internal Medicine CurrentSince Feb 1, 2008 Accepting new patients
California Care Level Management Direct Medical Group, Inc PastSince Jun 26, 2006 Accepting new patients
Hoag Memorial Hospital Presbyterian PastSince Feb 1, 2008 Accepting new patients

Locations

1401 Avocado Ave
Ste 302
Newport Beach, CA 92660
Phone (310) 980-6038

12231 Newport Ave
Santa Ana, CA 92705
Phone (714) 318-3927

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: germin.soliman.1@17371.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1093737892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1904",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945854904",
            "telephone_number": "657-241-3600",
            "fax_number": "657-241-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12231 NEWPORT AVE",
            "city": "NORTH TUSTIN",
            "state": "CA",
            "postal_code": "927053205",
            "telephone_number": "949-640-0635",
            "fax_number": "714-730-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "GERMIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W20A8490C",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "germin.soliman.p97@direct.nautilus.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12231 Newport Ave",
            "city": "North Tustin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927053205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Tustin, CA

Sources for this page

Verify at the official NPI Registry.