Active NPI
Jeffrey Mark Solomon, M.D.
- Anesthesiology Physician
- Huntington Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G52837
- Practice address
- 19632 Village Oaks Cir
Huntington Beach, CA 92648-6647 - Phone
- (714) 337-0125
- NPI assigned
- Jul 25, 2006
- Last updated
- Nov 16, 2023
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050061874 | Other | CA | RAILROAD MEDICARE ID # |
| 00G528370 | Medicaid | CA | |
| 00G528370 | Other | CA | BLUE SHIELD ID # |
| 00G528370385 | Other | CA | CALOPTIMA 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52837 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Anesthesia Associates Medical Group, Inc. | Anesthesiology | Current | 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.
-
- Anesthesiology Physician
- Long Beach, CA
- NPI 1457399933
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.