Centro Medico Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTRO MEDICO INC.

Practice address

11946 Hawthorne Blvd.
Hawthorne, CA 90250-3016

Phone

(310) 675-1136

Fax

(310) 970-1447

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nabil Nazir Soliman, M.D.NPI 1831114289

Title

Owner

Phone

(310) 675-1136

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• CENTRO MEDICO, INC. Doing business as
• Nabil & Janet F. Soliman Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nabil Nazir Soliman, M.D.

  • Family Medicine Physician
  • Hawthorne, CA
  • NPI 1831114289
  Medicare reassignment Care Compare group NPD Authorized official
• Christine Soliman Girgis

  • Family Medicine Physician
  • Hawthorne, CA
  • NPI 1821404450
  Medicare reassignment Care Compare group NPD
• Janet Fahem Soliman, M.D.

  • Family Medicine Physician
  • Hawthorne, CA
  • NPI 1548295066
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1497776322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11946 HAWTHORNE BLVD.",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503016",
            "telephone_number": "310-675-1136",
            "fax_number": "310-970-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11946 HAWTHORNE BLVD.",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503016",
            "telephone_number": "310-675-1136",
            "fax_number": "310-970-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "SOLIMAN",
        "authorized_official_first_name": "NABIL",
        "authorized_official_middle_name": "NAZIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-675-1136",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0057390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "ZZZ39006Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO MEDICO, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRO MEDICO, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nabil & Janet F. Soliman",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Simone A Cato-Jack
• Chanelle Jesnine Catuogno
• Roselyn Cayan
• Cecille Ho DDS, Inc
• Jesus Manuel Cejudo, COTA/L
• Century Eye Care Medical Center, Inc.
• Celine Heather Cerda, RN
• Chach Medical Aid
• Navneet Chagger, FDN-P
• Blair Marie Chambers, RN

• Family Medicine Physician in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.