Individual provider Active NPI

Kirti K Solanki, M.D.

  • Family Medicine Physician
  • Stockton, CA
National Provider Identifier
1528073400
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A54178 Issued in CA
Practice address
415 E Harding Way Ste a
Stockton, CA 95204-6118
Phone
(209) 948-1217
Fax
(209) 948-0243
NPI assigned
Jul 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A54178 CA Primary

Addresses

Primary practice location

415 E Harding Way Ste a
Stockton, CA 95204-6118

Mailing address

8260 Bennett Dr
Stockton, CA 95212-2200
Phone (209) 931-0369

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050105001127 CA Practitioner - Family PracticePractitioner - Internal Medicine 1254389307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

415 E Harding Way
Suite a
Stockton, CA 95204-6118

415 E Harding Way a
Stockton, CA 95204-6118

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions14
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54178CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirti K Solanki MD Inc Family Medicine CurrentSince Sep 1, 2014 Accepting new patients
Sunbridge Stockton Rehabilitation Center LLC PastSince Jan 1, 2023 Accepting new patients
Windsor Hampton Care Center, LLC PastSince May 10, 2012 Accepting new patients

Locations

415 E Harding Way
Ste A
Stockton, CA 95204
Phone (209) 465-5761

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hampton Post AcuteStockton, CA, CCN 056324 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 10, 2012
May 10, 2012
NE Billing, Inc.Modesto, CA, CCN A01791 Hospice Contracted Managing Employee (5%) Sep 16, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528073400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 BENNETT DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952122200",
            "telephone_number": "209-931-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E HARDING WAY STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046118",
            "telephone_number": "209-948-1217",
            "fax_number": "209-948-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLANKI",
        "first_name": "KIRTI",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.