Evan Sola, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31172 Issued in CA

Practice address

3626 Balboa St
San Francisco, CA 94121-2604

Phone

(415) 668-5955

Fax

(415) 668-0246

NPI assigned

Aug 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1134552524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 SANTA CLARA AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102604",
            "telephone_number": "415-562-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 BALBOA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212604",
            "telephone_number": "415-668-5955",
            "fax_number": "415-668-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLA",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott J Soifer, M.D.
• Stephanie Soileau, MS
• Taranjeet Sokhi
• Diana Hope Sokolove
• Solymar Sola-Negron
• Ognjen (Ogi) Solaja, MD
• Peter Anthony Solan, OTC
• Ritvik S Solanki
• Solano Diagnostics Partners, a Calif Limited Partnership
• Solano Pharmacy (Solano Pharmacy #2 LTC)

• Clinical Psychologist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.