Individual provider Active NPI

Alfred Marc Solish, M.D.

  • Ophthalmology Physician
  • Pasadena, CA
National Provider Identifier
1538144829
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G42828 Issued in CA
Practice address
630 S Raymond Ave
230
Pasadena, CA 91105-3283
Phone
(626) 577-1115
NPI assigned
Dec 9, 2005
Last updated
Aug 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G42828 CA Primary

Addresses

Primary practice location

630 S Raymond Ave
230
Pasadena, CA 91105-3283

Mailing address

630 S Raymond Ave
230
Pasadena, CA 91105-3283
Phone (626) 577-1115

Other identifiers 1

IdentifierTypeStateIssuer
00G428282MedicaidCA

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
I20070714000190 CA Practitioner - Ophthalmology 0446350854 Reassigns benefits to 3 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA; Lancaster, CA; Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George M Rajacich MD IncGroup PAC ID 1658275599, 3 clinicians

Practice addresses (Care Compare)

14624 Sherman Way
Suite 508
Van Nuys, CA 91405-2289
Phone (818) 787-2020

425 Haaland Dr
Suite 103
Thousand Oaks, CA 91361-5230
Phone (805) 345-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42828CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darin Eye Center a Medical CurrentSince Jan 1, 2026 Accepting new patients
Adv Vision LLC Ophthalmology CurrentSince Mar 4, 2019 Accepting new patients
Darin Eye Center, a Medical Corporation Ophthalmology CurrentSince Jan 1, 2026 Accepting new patients
George M. Rajacich, M.D., Inc. Ophthalmology CurrentSince Apr 1, 2025 Accepting new patients
Southern California Glaucoma Consultants Medical Group Ophthalmology Past Accepting new patients
Pacific Eye Institute, a Medical Group, Inc. Ophthalmology PastSince Apr 1, 2022 Accepting new patients

Locations

835 Aerovista Pl
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 457-9568

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

14624 Sherman Way
Ste 508
Van Nuys, CA 91405
Phone (818) 908-4999

14914 Sherman Way
Van Nuys, CA 91405
Phone (818) 787-2020

4353 Park Terrace Dr
Ste 150
Westlake Vlg, CA 91361
Phone (805) 695-2462

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1538144829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "230",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053283",
            "telephone_number": "626-577-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE",
            "address_2": "230",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053283",
            "telephone_number": "626-577-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLISH",
        "first_name": "ALFRED",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G42828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G428282",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.