Individual provider Active NPI

Mina Sameh Sobhy Soliman, MD

  • Family Medicine Physician
  • Yucaipa, CA
National Provider Identifier
1457730392
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A153032 Issued in CA
Practice address
33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone
(562) 417-1194
NPI assigned
May 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A153032 CA Primary

Addresses

Primary practice location

33758 Yucaipa Blvd
Yucaipa, CA 92399

Mailing address

PO Box 10069
San Bernardino, CA 92423-0069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181010001584 CA Practitioner - Family Practice 3274848759 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Alliance Medical Group IncGroup PAC ID 0446699896, 13 clinicians

Practice addresses (Care Compare)

34675 Yucaipa Blvd
Yucaipa, CA 92399-4155

637 N 13TH Ave
Upland, CA 91786-4906
Phone (909) 892-3434

Hospital & facility affiliations

  • Assisted Home Health Home health agency, West Covina, CA, CCN 557784
  • Assisted Hospice Care Hospice, Covina, CA, CCN A01649
  • Grand Terrace Hospice Hospice, Grand Terrace, CA, CCN 751748
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153032CAMDFamily Medicine Physician

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C CurrentSince Aug 1, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Whole Family Care Inc Family Medicine CurrentSince Jun 24, 2024 Accepting new patients
Community Alliance Medical Group Inc Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Chino Medical Group, Inc Family Medicine Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1177 Idaho St
Ste 102
Redlands, CA 92374

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

1901 W Lugonia Ave
Ste 340
Redlands, CA 92374

2 W Fern Ave
#1112
Redlands, CA 92373

345 Terracina Blvd
Ste B
Redlands, CA 92373

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

637 N 13th Ave
Upland, CA 91786
Phone (909) 625-1977

34675 Yucaipa Blvd
Ste 102105
Yucaipa, CA 92399

34675 Yucaipa Blvd
Ste 102104
Yucaipa, CA 92399

34675 Yucaipa Blvd
#102105
Yucaipa, CA 92399

34675 Yucaipa Blvd
Ste 103
Yucaipa, CA 92399
Phone (909) 790-4537

34675 Yucaipa Blvd
Ste 102
Yucaipa, CA 92399
Phone (909) 790-4795

33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 795-9747

34675 Yucaipa Blvd
Ste 104
Yucaipa, CA 92399
Phone (909) 790-4200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCEDD
  • Direct secure messaging: mina.soliman.1@26964.direct.athenahealth.com

Organizations & group practices 7

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 5

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1457730392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10069",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33758 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "92399",
            "telephone_number": "562-417-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "MINA",
        "middle_name": "SAMEH SOBHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A153032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

Verify at the official NPI Registry.