Active NPI
Emmanuel Gabriel Solano
- Dental Assistant
- Alhambra, CA
National Provider Identifier
1164906889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 66928
- Practice address
- 1705 S 4TH St Apt C
Alhambra, CA 91803-3522 - Phone
- (323) 596-5481
- NPI assigned
- Sep 19, 2018
- Last updated
- Sep 19, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 66928 | CA | Primary |
Addresses
Primary practice location
1705 S 4TH St Apt C
Alhambra, CA 91803-3522
Mailing address
1705 S 4TH St Apt C
Alhambra, CA 91803-3522
Phone (323) 596-5481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66928 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1164906889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 S 4TH ST APT C",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918033522",
"telephone_number": "323-596-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 S 4TH ST APT C",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918033522",
"telephone_number": "323-596-5481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLANO",
"first_name": "EMMANUEL",
"middle_name": "GABRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-19",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "66928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66928",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.