Individual provider Active NPI

Mahedere Solomon, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1588809651
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP15590 Issued in CA
Practice address
433 Turk St
San Francisco, CA 94102-3329
Phone
(415) 928-7800
Fax
(415) 928-3710
NPI assigned
Dec 3, 2008
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP15590 CA Primary
Family Nurse Practitioner 363LF0000X 15590 CA

Addresses

Primary practice location

433 Turk St
San Francisco, CA 94102-3329

Mailing address

1141 Catalina Dr
# 194
Livermore, CA 94550-5928
Phone (415) 928-7800

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
I20140702000416 CA Practitioner - Nurse Practitioner 6709001910 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jon Sterngold MD Inc a Professional CorporationGroup PAC ID 9436412954, 5 clinicians

Practice addresses (Care Compare)

1287 Fulton Rd
Santa Rosa, CA 95401-4923
Phone (707) 595-3133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP15590CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pair Team Medical Group of California PC CurrentSince May 28, 2025 Accepting new patients
One Love Center for Health CurrentSince Sep 1, 2025 Accepting new patients
Pair Team Medical Group, P.a. CurrentSince May 28, 2025 Accepting new patients
Jon Sterngold MD Inc a Professional Corporation CurrentSince Sep 12, 2023 Accepting new patients

Locations

1357 5th St
Oakland, CA 94607
Phone (510) 459-0348

1325 J St
Ste 1550
Sacramento, CA 95814
Phone (415) 320-7541

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

Interoperability endpoints

  • Direct secure messaging: mahedere.solomon@682114225012740.direct.elationemr.com

Organizations & group practices 4

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": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1588809651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 CATALINA DR",
            "address_2": "# 194",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945505928",
            "telephone_number": "415-928-7800",
            "fax_number": "415-928-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 TURK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023329",
            "telephone_number": "415-928-7800",
            "fax_number": "415-928-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "MAHEDERE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP15590",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.