Active NPI
Solara Medical Supplies, LLC
- Pharmacy
- Chula Vista, CA
National Provider Identifier
1356716534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- SOLARA MEDICAL SUPPLIES, LLC
- Practice address
- 2084 Otay Lakes Rd Ste 102
Chula Vista, CA 91913-1368 - Phone
- (858) 439-0371
- Fax
- (619) 600-3273
- NPI assigned
- Dec 14, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Dialysis Equipment & Supplies (DME) | 332BD1200X | |||
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
2084 Otay Lakes Rd Ste 102
Chula Vista, CA 91913-1368
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Brightree |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190625000615 | CA | DME Supplier - Pharmacy | 5597885632 | Practice locations: Chula Vista, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Detroit, MI
- NPI 1114167111
5597885632
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Solara Medical Supplies LLC | Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Implanted Infusion Pumps and/or Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Solara Medical Supplies LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Livonia, MI
- NPI 1124559554
-
- Community/Retail Pharmacy
- Livonia, MI
- NPI 1902174196
-
- Durable Medical Equipment & Medical Supplies
- Detroit, MI
- NPI 1114167111
Locations
2084 Otay Lakes Rd
Ste 102
Chula Vista, CA 91913
Phone (619) 600-3250
1401 Vermont St
Ste 115
Detroit, MI 48216
Phone (888) 568-8145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1356716534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E NORTH LN STE 5075",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "194282490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2084 OTAY LAKES RD STE 102",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919131368",
"telephone_number": "858-439-0371",
"fax_number": "619-600-3273"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLARA MEDICAL SUPPLIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-14",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "RUSSALESI",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "CCO",
"authorized_official_telephone_number": "484-246-9499"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Brightree",
"affiliation": "N",
"address_1": "2084 Otay Lakes Rd",
"address_2": "Suite 102",
"city": "Chula Vista",
"state": "CA",
"country_code": "US",
"postal_code": "91915",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.