Nicolas Jaymie Solomon, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000034563 Issued in CA

Practice address

4015 San Gabriel River Pkwy
Pico Rivera, CA 90660-1406

Phone

(562) 922-0547

NPI assigned

Dec 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1487366381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 SAN GABRIEL RIVER PKWY",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601406",
            "telephone_number": "562-922-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 SAN GABRIEL RIVER PKWY",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601406",
            "telephone_number": "562-922-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "NICOLAS",
        "middle_name": "JAYMIE",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000034563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Sierra
• Veronica Berenice Sifuentes
• Chad Simpson
• Sydney Skinner
• Maria Del Carmen Solis, L.C.S.W.
• David Solorio
• Keith Aaron J Somsanith, D.O.
• Kang Son, L.AC
• Sophia Rozov DDS, Inc
• Sorour D.M.D, P.C

• Athletic Trainer in Pico Rivera, CA
• Providers in Pico Rivera, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.