Individual provider Active NPI

Johanna Solorzano, APRN FNP

  • Family Nurse Practitioner
  • Altadena, CA
National Provider Identifier
1275130759
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
196330 Issued in MT
Practice address
143 Laurel Dr
Altadena, CA 91001-4323
Phone
(415) 653-6272
NPI assigned
Oct 7, 2020
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10319 CA
Family Nurse Practitioner 363LF0000X 196330 MT Primary
General Practice Registered Nurse 163WG0000X 489709 CA

Addresses

Primary practice location

143 Laurel Dr
Altadena, CA 91001-4323

Mailing address

143 Laurel Dr
Altadena, CA 91001-4323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621000120 TX Practitioner - Nurse Practitioner 1850704107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10319CAMDPhysical Medicine & Rehabilitation Physician
196330MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Nations Health Center, Inc. Single Specialty CurrentSince Apr 20, 2024 Accepting new patients
All Nations Health Center PastSince Oct 16, 2022 Accepting new patients

Locations

2100 Stephens Ave
Ste 105
Missoula, MT 59801
Phone (406) 829-9515

830 W Central Ave
Missoula, MT 59801
Phone (406) 829-9515

Interoperability endpoints

  • Direct secure messaging: johanna.solorzano@allnations.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1275130759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 LAUREL DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 LAUREL DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014323",
            "telephone_number": "415-653-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLORZANO",
        "first_name": "JOHANNA",
        "credential": "APRN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "10319",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "196330",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "489709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

Verify at the official NPI Registry.