Individual provider Active NPI

Peter Sorial Soliman, M.D., MPH

  • Internal Medicine Physician
  • Loma Linda, CA
National Provider Identifier
1568994861
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A157756 Issued in CA
Practice address
25815 Barton Rd
Ste 102
Loma Linda, CA 92354-3894
Phone
(909) 478-1000
NPI assigned
Mar 28, 2017
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A157556 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A157756 CA Primary

Addresses

Primary practice location

25815 Barton Rd
Ste 102
Loma Linda, CA 92354-3894

Mailing address

25815 Barton Rd
Ste 102
Loma Linda, CA 92354-3894
Phone (909) 522-6443

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
I20210902000146 CA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5597015958 Practice locations: Loma Linda, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Arizona College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25815 Barton Rd
Suite 102
Loma Linda, CA 92354-3893

25815 Barton Rd
Suite 102
Loma Linda, CA 92354-3894
Phone (909) 478-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A157556CAMDInternal Medicine Physician
A157756CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soliman-Rizkalla Clinic, Inc. Multi-Specialty CurrentSince Aug 1, 2021 Accepting new patients
Dr Soliman and Dr Rizkalla Hospitalis PastSince Aug 1, 2021 Accepting new patients

Locations

25815 Barton Rd
Ste 102
Loma Linda, CA 92354
Phone (909) 478-1100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: psoliman417986@direct.llu.edu

Organizations & group practices 2

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1568994861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25815 BARTON RD",
            "address_2": "STE 102",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543894",
            "telephone_number": "909-522-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25815 BARTON RD",
            "address_2": "STE 102",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543894",
            "telephone_number": "909-478-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "PETER SORIAL",
        "credential": "M.D., MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A157556",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A157756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.