Individual provider Active NPI

Solomon Methuselach Yochanan, MD

  • Emergency Medicine Physician
  • Hemet, CA
National Provider Identifier
1386685873
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME166173 Issued in FL
Practice address
1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone
(951) 766-6450
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G77979 CA
Emergency Medicine Physician 207P00000X ME166173 FL Primary

Addresses

Primary practice location

1117 E Devonshire Ave
Hemet, CA 92543-3083

Mailing address

8297 Champions Gate Blvd # 529
Champions Gate, FL 33896-8387
Phone (202) 774-8655

Other identifiers 3

IdentifierTypeStateIssuer
00G779790OtherCABLUE SHIELD
P00158920OtherCARAILROAD MEDICARE
00G779790MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041028000324 CA Practitioner - Emergency Medicine 2466414834 Reassigns benefits to 7 organizations
I20240807000810 FL Practitioner - Emergency Medicine 2466414834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

14193 US-441
HCA Florida Summerfield Emergency
Summerfield, FL 34491-3476
Phone (352) 401-1167

Hospital & facility affiliations

  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G77979CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Dec 5, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 19, 2000 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Dec 5, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 19, 2000 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince May 27, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 19, 2000 Accepting new patients
Pacific Coast Emergency Medical Associates, Inc Emergency Medicine CurrentSince Apr 1, 2011 Accepting new patients
San Dimas Emergency Medical Associates Inc. Emergency Medicine CurrentSince Jan 1, 2009 Accepting new patients
Montclair Emergency Medical Associates Emergency Medicine CurrentSince Mar 21, 2009 Accepting new patients
Acute Care Medical Coastal Emergency Medicine Past Accepting new patients

Locations

1011 Baldwin Park Blvd
Baldwin Park, CA 91706
Phone (626) 851-1011

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14193 S US Highway 441
Summerfield, FL 34491
Phone (352) 245-4440

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 12

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 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1386685873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8297 CHAMPIONS GATE BLVD # 529",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968387",
            "telephone_number": "202-774-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433083",
            "telephone_number": "951-766-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCHANAN",
        "first_name": "SOLOMON",
        "middle_name": "METHUSELACH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G77979",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME166173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G779790",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00158920",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G779790",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1011 Baldwin Park Blvd",
            "city": "Baldwin Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917065806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.