Organization Active NPI

Solidaritus Health California PC

  • Family Medicine Physician
  • South San Francisco, CA
National Provider Identifier
1194558031
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOLIDARITUS HEALTH CALIFORNIA PC
Practice address
988 El Camino Real Ste 8
South San Francisco, CA 94080-3315
Phone
(650) 456-9469
Fax
(650) 447-1564
NPI assigned
Aug 26, 2024
Organization subpart
Yes
Parent organization
SOLIDARITUS HEALTH CALIFORNIA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Lakeisha Flores
Title
Chief Operating Officer
Phone
(804) 304-6764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

988 El Camino Real Ste 8
South San Francisco, CA 94080-3315

Mailing address

1025 Connecticut Ave NW Ste 907
Washington, DC 20036-5434
Phone (703) 454-8063

Other names 1

  • Solidaritus Health - South San Francisco Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Solidaritus Health California PC3 organizations share this tax ID, including this one
Part of
Solidaritus Health California PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1194558031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CONNECTICUT AVE NW STE 907",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365434",
            "telephone_number": "703-454-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 EL CAMINO REAL STE 8",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940803315",
            "telephone_number": "650-456-9469",
            "fax_number": "650-447-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLIDARITUS HEALTH CALIFORNIA PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOLIDARITUS HEALTH CALIFORNIA PC",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "804-304-6764"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solidaritus Health - South San Francisco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.