Individual provider Active NPI

Audrey Malbog Solano, FNP-BC

  • Nurse Practitioner
  • National City, CA
National Provider Identifier
1467158857
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95022627 Issued in CA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230405001443 CA Practitioner - Nurse Practitioner 0143695171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brenton D. Wynn, MD Inc CurrentSince Mar 15, 2023 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.

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

Verify at the official NPI Registry.