Robert W. Krochalis-Soliani, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA14197 Issued in TX

Practice address

600 Main St.
Soledad, CA 93960-2655

Phone

(831) 678-2665

Fax

(831) 678-8411

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Robert W Krochalis Former name

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

56.11 of 100Reported as group

Quality

50.63

Improvement activities

40

Cost

27.55

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: robert.soliani.p17@direct.regal.nextgenshare.com
• Direct secure messaging: robert.soliani.2@14883.direct.athenahealth.com

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.

• Southern California Primary Care Medical Group, Inc

  • Family Medicine Physician
  • Lake Elsinore, CA
  • NPI 1376632281
  Medicare reassignment
• Pratt Medical Center LTD

  • Clinical Medical Laboratory
  • Fredericksburg, VA
  • NPI 1003840950
  NPD (past)
• Pratt Medical Center LTD

  • Family Medicine Physician
  • Fredericksburg, VA
  • NPI 1316973555
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1366452260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31581 CANYON ESTATES DR",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925320424",
            "telephone_number": "951-244-3500",
            "fax_number": "951-244-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN ST.",
            "city": "SOLEDAD",
            "state": "CA",
            "postal_code": "939602655",
            "telephone_number": "831-678-2665",
            "fax_number": "831-678-8411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4335 W Piedras Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782281215",
            "country_code": "US",
            "telephone_number": "210-891-5235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KROCHALIS-SOLIANI",
        "first_name": "ROBERT",
        "middle_name": "W.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "17484",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17484",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA17484",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "KROCHALIS",
            "middle_name": "W",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anton Y Kangethe
• Anne Elizabeth Karcher, PH.D.
• Irina V Kardos, PH.D.
• Shauna Marie Keller, PSY.D.
• Salem Kensik, PSY.D.
• Silvia Landeros
• Viviana Lara Perez
• Kayla Rose Larez
• Seth Nikko Larez
• Kiet Quoc Le

• Physician Assistant in Soledad, CA
• Providers in Soledad, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.