Individual provider Active NPI

Nitikul Srisirirojanakorn Solomon, MD

  • Pediatrics Physician
  • Palo Alto, CA
National Provider Identifier
1508833047
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C165294 Issued in CA
Practice address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone
(650) 497-8000
NPI assigned
Mar 3, 2006
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X C165294 CA Primary

Addresses

Primary practice location

725 Welch Rd
Palo Alto, CA 94304-1601

Mailing address

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000

Other names 1

  • Nitikul Srisirirojanakorn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160526001272 OR Practitioner - Pediatric Medicine 2264722610 Reassigns benefits to 5 organizations
I20231107003059 CA Practitioner - Pediatric Medicine 2264722610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center- Ontario Inc Current Accepting new patients
Golden Valley Health Centers CurrentSince Dec 1, 2025 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Feb 6, 2019 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Golden Valley Health Centers CurrentSince Dec 1, 2025 Accepting new patients
McKenzie Physician Services LLC CurrentSince Apr 19, 2019 Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Jan 16, 2019 Accepting new patients
Willamette Family Medical Center Inc CurrentSince Apr 1, 2016 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Feb 6, 2019 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Jan 16, 2019 Accepting new patients
Naturalways Pediatrics Current Accepting new patients
Willamette Family Medical Center, Inc PastSince Apr 1, 2016 Accepting new patients
Golden Valley Health Center Past Accepting new patients
Salinas Pediatric Medical Group Inc Pediatrics PastSince Apr 1, 2020 Accepting new patients

Locations

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

435 Lancaster Dr NE
Salem, OR 97301
Phone (503) 585-6388

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nssolomo@yourcarecommunity.org

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1508833047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "NITIKUL",
        "middle_name": "SRISIRIROJANAKORN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C165294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NITIKUL",
            "last_name": "SRISIRIROJANAKORN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.