NPIMap

Individual provider Active NPI

Brian D Solberg, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1396729216
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G84376 Issued in CA
Practice address
1414 S Grand Ave
Suite 123
Los Angeles, CA 90015-3067
Phone
(213) 455-8448
Fax
(213) 745-8922
NPI assigned
Dec 5, 2005
Last updated
Jun 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G84376 CA Primary

Addresses

Primary practice location

1414 S Grand Ave
Suite 123
Los Angeles, CA 90015-3067

Mailing address

1414 S Grand Ave
Ste 210
Los Angeles, CA 90015-3067
Phone (213) 455-8448

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000209 CA Practitioner - Orthopedic Surgery 8224189899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Maryland School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian D Solberg MD IncGroup PAC ID 3577614148, 4 clinicians

Practice addresses (Care Compare)

1414 S Grand Ave
Suite 123
Los Angeles, CA 90015-3067

1414 S Grand Ave
Suite 123
Los Angeles, CA 90015-3071
Phone (213) 455-8448

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
92.32
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement11
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84376CAMDDental Assistant
G84376CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Verity Medical Foundation CurrentSince Aug 1, 2013 Accepting new patients
DCHS Medical Foundation Orthopaedic Surgery CurrentSince Aug 1, 2013 Accepting new patients
Brian D Solberg MD Inc Orthopaedic Surgery CurrentSince Mar 9, 2009 Accepting new patients
U.S. Healthworks Medical Group, PC Past Accepting new patients
Dignity Community Care Past Accepting new patients
Kern Valley Healthcare District Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Occupational Health Centers of California, a Medical Corporation PastSince Nov 15, 2020 Accepting new patients

Locations

1505 Wilson Ter
Ste 310
Glendale, CA 91206
Phone (818) 419-2597

2675 E Slauson Ave
Huntington Pk, CA 90255
Phone (213) 589-6681

1414 S Grand Ave
Ste 123
Los Angeles, CA 90015
Phone (213) 455-8448

1414 S Grand Ave
Ste 210
Los Angeles, CA 90015
Phone (213) 455-8448

3628 E Imperial Hwy
Ste 408
Lynwood, CA 90262
Phone (310) 554-4127

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/kernvh-26e64ef3

Organizations & group practices 9

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

Hospital & facility affiliations 3

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1396729216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-455-8448",
            "fax_number": "213-745-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "SUITE 123",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-455-8448",
            "fax_number": "213-745-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLBERG",
        "first_name": "BRIAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G84376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.