Individual provider Active NPI

Jeffrey Mark Solomon, M.D.

  • Anesthesiology Physician
  • Huntington Beach, CA
National Provider Identifier
1144243965
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G52837 Issued in CA
Practice address
19632 Village Oaks Cir
Huntington Beach, CA 92648-6647
Phone
(714) 337-0125
NPI assigned
Jul 25, 2006
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G52837 CA Primary

Addresses

Primary practice location

19632 Village Oaks Cir
Huntington Beach, CA 92648-6647

Mailing address

19632 Village Oaks Cir
Huntington Beach, CA 92648-6647
Phone (714) 337-0125

Other identifiers 4

IdentifierTypeStateIssuer
050061874OtherCARAILROAD MEDICARE ID #
00G528370MedicaidCA
00G528370OtherCABLUE SHIELD ID #
00G528370385OtherCACALOPTIMA ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52837CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
California Anesthesia Associates Medical Group, Inc. Anesthesiology CurrentSince Feb 21, 2017 Accepting new patients

Locations

24451 Health Center Dr
#104
Laguna Hills, CA 92653

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

2880 Atlantic Ave
Ste 160
Long Beach, CA 90806
Phone (562) 453-3814

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1144243965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19632 VILLAGE OAKS CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486647",
            "telephone_number": "714-337-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19632 VILLAGE OAKS CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486647",
            "telephone_number": "714-337-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "JEFFREY",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G52837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID #",
            "identifier": "050061874",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G528370",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "00G528370",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALOPTIMA ID #",
            "identifier": "00G528370385",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.