Individual provider Active NPI

Edgar Solorio

  • Primary Care Nurse Practitioner
  • Ridgecrest, CA
National Provider Identifier
1326798240
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95020444 Issued in CA
Practice address
1041 N China Lake Blvd Ste a
Ridgecrest, CA 93555-3169
Phone
(760) 446-3551
NPI assigned
Mar 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95020444 CA Primary

Addresses

Primary practice location

1041 N China Lake Blvd Ste a
Ridgecrest, CA 93555-3169

Mailing address

2536 Dixon LN
Bishop, CA 93514-7621
Phone (760) 937-6394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220504000976 CA Practitioner - Nurse Practitioner 6709273188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, 94 clinicians

Practice addresses (Care Compare)

1041 N China Lake Blvd
Ridgecrest, CA 93555-3168
Phone (760) 446-8692

Hospital & facility affiliations

  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95020444CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital Current Accepting new patients
Ridgecrest Regional Hospital CurrentSince Apr 1, 2022 Accepting new patients
Ridgecrest Regional Hospital CurrentSince Apr 1, 2022 Accepting new patients

Locations

1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1041 N China Lake Blvd
Ste A
Ridgecrest, CA 93555
Phone (760) 446-2984

1041 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0121

1111 N China Lake Blvd
#190
Ridgecrest, CA 93555
Phone (760) 499-3855

82820 Trona Rd
Trona, CA 93562
Phone (760) 372-4524

Interoperability endpoints

  • Direct secure messaging: edgarsolorio@rrh.medalliesdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1326798240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 DIXON LN",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935147621",
            "telephone_number": "760-937-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N CHINA LAKE BLVD STE A",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553169",
            "telephone_number": "760-446-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLORIO",
        "first_name": "EDGAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95020444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.