Active NPI
Solidaritus Health California PC
- Family Medicine Physician
- South San Francisco, CA
National Provider Identifier
1194558031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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 PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Solidaritus Health California PC
- 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.
-
- Family Medicine Physician
- Rocklin, CA
- NPI 1558137018
-
- Family Medicine Physician
- San Jose, CA
- NPI 1922807049
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.