Individual provider Active NPI

Yudelka Solano, PA-C

  • Physician Assistant
  • Patterson, CA
National Provider Identifier
1508848045
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14794 Issued in CA
Practice address
200 C St
Patterson, CA 95363-2701
Phone
(209) 892-8441
Fax
(209) 892-5984
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14794 CA Primary

Addresses

Primary practice location

200 C St
Patterson, CA 95363-2701

Mailing address

737 W Childs Ave
Merced, CA 95340-6805
Phone (209) 383-1848

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
I20100806000219 CA Practitioner - Physician Assistant 3476682253 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14794CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Centers CurrentSince Dec 30, 2012 Accepting new patients
Golden Valley Health Center CurrentSince Dec 30, 2012 Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients
Golden Valley Health Center Current Accepting new patients

Locations

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

737 W Childs Ave
Merced, CA 95341
Phone (209) 383-1848

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

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508848045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953406805",
            "telephone_number": "209-383-1848",
            "fax_number": "209-383-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 C ST",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632701",
            "telephone_number": "209-892-8441",
            "fax_number": "209-892-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLANO",
        "first_name": "YUDELKA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

Verify at the official NPI Registry.