Solomon Teckle, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A104612 Issued in CA

Practice address

3291 Loma Vista Rd
Ventura, CA 93003-3099

Phone

(805) 652-6228

NPI assigned

Jun 24, 2008

Last updated

Nov 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, GA, TN, LA4 enrollments

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 4

Specialty

Family Practice

Education

Oregon Health Sciences University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: solomon.teckle@wellbe.gadirect.net

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.

• Adobe PH Ca Medical Group, P.C.

  • Family Medicine Physician
  • Brea, CA
  • NPI 1427889195
  Medicare reassignment NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Burbank Podiatry Asscociates Group a Professional Corporation

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
  • NPI 1659470367
  Medicare reassignment
• Upperline Healthcare California PC

  • Podiatric Clinic/Center
  • Orange, CA
  • NPI 1225663826
  Medicare reassignment
• Adcs Care Management 1 Inc

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1609759653

  GA

  Medicare reassignment
• Adcs Care Management 2 Inc

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1770466724

  GA

  Medicare reassignment
• Advanced Foot Care LLP

  • Foot & Ankle Surgery Podiatrist
  • Fort Oglethorpe, GA
  • NPI 1518020361

  TN

  Medicare reassignment
• Apc Holdings LLC

  dba Fast Pace Health Case Management

  • Nurse Practitioner
  • Pearl River, LA
  • NPI 1164314845
  Medicare reassignment
• Apc Holdings LLC

  dba Fast Pace Health Case Management

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1194617274
  Medicare reassignment
• FPM Holdings LLC

  dba Fast Pace Health Care Management

  • Nurse Practitioner
  • Ponchatoula, LA
  • NPI 1134011729
  Medicare reassignment
• FPM Holdings LLC

  dba Fast Pace Health Care Management

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1568354140
  Medicare reassignment
• Reagan Medical Center LLC

  • Family Medicine Physician
  • Suwanee, GA
  • NPI 1952316747
  Medicare reassignment

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1154582971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033099",
            "telephone_number": "805-981-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033099",
            "telephone_number": "805-652-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECKLE",
        "first_name": "SOLOMON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A104612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Erin Taylor, PT, DPT
• Meghan Marie Taylor
• Thomas Taylor, PSY.D.
• Heather Te, LMFT, LPCC
• Emily Teague
• Telecare Corporation (Telecare Vista)
• Telecare Vista Voice
• Victor Angel Tellez
• Daniel B Tello
• Adria Goppelt Tenisson, PT, MPT

• Family Medicine Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.