Organization Active NPI

Solomon Stern Glatt AMC

  • Internal Medicine Physician
  • South San Francisco, CA
National Provider Identifier
1568555704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOLOMON STERN GLATT AMC
Practice address
160 Country Club Dr
#D
South San Francisco, CA 94080-4347
Phone
(650) 952-5880
Fax
(650) 952-5895
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bertram C Solomon, MD
Title
President
Phone
(650) 952-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

160 Country Club Dr
#D
South San Francisco, CA 94080-4347

Mailing address

160 Country Club Dr
#D
South San Francisco, CA 94080-4347
Phone (650) 952-5880

Other identifiers 1

IdentifierTypeStateIssuer
22273659ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

160 Country Club Dr
Ste D
South San Francisco, CA 94080
Phone (650) 952-5880

160 Country Club Dr
South San Francisco, CA 94080
Phone (650) 825-6060

160 Country Club Dr
Ste A
South San Francisco, CA 94080
Phone (650) 952-5880

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568555704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 COUNTRY CLUB DR",
            "address_2": "#D",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804347",
            "telephone_number": "650-952-5880",
            "fax_number": "650-952-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 COUNTRY CLUB DR",
            "address_2": "#D",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804347",
            "telephone_number": "650-952-5880",
            "fax_number": "650-952-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON STERN GLATT AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "BERTRAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-952-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22273659Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.