Active NPI
Audrey Malbog Solano, FNP-BC
- Nurse Practitioner
- National City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95022627
- Practice address
- 655 Euclid Ave Ste 205
National City, CA 91950-2967 - Phone
- (619) 470-1945
- NPI assigned
- Feb 7, 2023
- Last updated
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95022627 | CA | Primary |
Addresses
Primary practice location
655 Euclid Ave Ste 205
National City, CA 91950-2967
Mailing address
8675 Lynx Rd
San Diego, CA 92126-1828
Phone (714) 747-6672
Other practice location 1
3811 Valley Centre Dr
San Diego, CA 92130-3318
Phone (858) 554-7439
Other practice location 2
502 Euclid Ave Ste 200
National City, CA 91950-2984
Phone (619) 332-2786
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brenton D. Wynn, MD Inc | Current | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients | |
| Innovative Pain Management Medical Group | Past | Accepting new patients | |
| Ahmad Bailony MD Inc | Past | Accepting new patients |
Locations
502 Euclid Ave
Ste 200
National City, CA 91950
Phone (619) 434-4019
333 W Harbor Dr
Ste 126
San Diego, CA 92101
Organizations & group practices 4
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- National City, CA
- NPI 1598953960
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- National City, CA
- NPI 1902330285
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1467158857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8675 LYNX RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921261828",
"telephone_number": "714-747-6672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 EUCLID AVE STE 205",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502967",
"telephone_number": "619-470-1945"
}
],
"practiceLocations": [
{
"address_1": "3811 Valley Centre Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921303318",
"country_code": "US",
"telephone_number": "858-554-7439",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "502 Euclid Ave Ste 200",
"address_purpose": "LOCATION",
"city": "National City",
"state": "CA",
"postal_code": "919502984",
"country_code": "US",
"telephone_number": "619-332-2786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLANO",
"first_name": "AUDREY",
"middle_name": "MALBOG",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95022627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.