NPIMap

Organization Active NPI

Soleo Health Inc.

  • Home Infusion Therapy Pharmacy
  • Hayward, CA
National Provider Identifier
1235527227
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHY52445 Issued in CA
Legal business name
SOLEO HEALTH INC.
Practice address
1324 W Winton Ave
Hayward, CA 94545-1408
Phone
(510) 362-7360
Fax
(510) 460-1389
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Andrew C Walk
Title
Ceo
Phone
(833) 765-3648

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHY52445 CA
Pharmacy 333600000X PHY52445 CA
Community/Retail Pharmacy 3336C0003X PHY52445 CA
Home Infusion Therapy Pharmacy 3336H0001X PHY52445 CA Primary
Specialty Pharmacy 3336S0011X PHY52445 CA

Addresses

Primary practice location

1324 W Winton Ave
Hayward, CA 94545-1408

Mailing address

2801 Network Blvd Ste 505
Frisco, TX 75034-1895
Phone (603) 324-2978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150206000515 CA Part B Supplier - Pharmacy 2365667904 Practice locations: Hayward, CA
O20150608003021 CA DME Supplier - Pharmacy 2365667904 Practice locations: Hayward, CA
O20210106002851 CA Part B Supplier - Home Infusion Therapy Supplier 2365667904 Practice locations: Hayward, CA

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Soleo Helath Inc Soleo RX39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1235527227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 NETWORK BLVD STE 505",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341895",
            "telephone_number": "603-324-2978",
            "fax_number": "603-718-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 W WINTON AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451408",
            "telephone_number": "510-362-7360",
            "fax_number": "510-460-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLEO HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "WALK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-765-3648"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY52445",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY52445",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY52445",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "PHY52445",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY52445",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.