Active NPI
Mina Sameh Sobhy Soliman, MD
- Family Medicine Physician
- Yucaipa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A153032
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
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
- Assisted Hospice Care
- Grand Terrace Hospice
- San Antonio Regional Hospital
- Redlands Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A153032 | CA | MD | Family Medicine Physician |
Practice roles (7 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Family Medicine | Current | Accepting new patients |
| Beaver Medical Group P C | Family Medicine | Current | Accepting new patients |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Whole Family Care Inc | Family Medicine | Current | Accepting new patients |
| Community Alliance Medical Group Inc | Family Medicine | Current | 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
- https://fhir4.healow.com/fhir/r4/BJCEDD
- 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.
-
- Family Medicine Physician
- Yucaipa, CA
- NPI 1699545285
CA, Family Medicine
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
CA, Family Medicine
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Covina, CA
- NPI 1265933667
-
- Community Based Hospice Care Agency
- Grand Terrace, CA
- NPI 1659791721
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.