Organization Active NPI

Michael Robert Solomon MD Lac PC

  • General Practice Physician
  • Palm Springs, CA
National Provider Identifier
1346318821
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
G81467 Issued in CA
Legal business name
MICHAEL ROBERT SOLOMON MD LAC PC
Practice address
340 S Farrell Dr
Suite A110
Palm Springs, CA 92262-7921
Phone
(760) 416-0042
Fax
(760) 416-0142
NPI assigned
Dec 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Robert Solomon, MDNPI 1770752560
Title
Owner President
Phone
(760) 416-0042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD10726R LA
General Practice Physician 208D00000X G81467 CA Primary

Addresses

Primary practice location

340 S Farrell Dr
Suite A110
Palm Springs, CA 92262-7921

Mailing address

340 S Farrell Dr
Suite A110
Palm Springs, CA 92262-7921
Phone (760) 416-0042

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346318821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S FARRELL DR",
            "address_2": "SUITE A110",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627921",
            "telephone_number": "760-416-0042",
            "fax_number": "760-416-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S FARRELL DR",
            "address_2": "SUITE A110",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627921",
            "telephone_number": "760-416-0042",
            "fax_number": "760-416-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ROBERT SOLOMON MD LAC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "760-416-0042",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD10726R",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G81467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.