Individual provider Active NPI

Michael Christian Solano

  • Psychiatric/Mental Health Nurse Practitioner
  • Upland, CA
National Provider Identifier
1609094945
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95012580 Issued in CA
Practice address
954 W Foothill Blvd Ste a
Upland, CA 91786-3782
Phone
(909) 946-4222
Fax
(909) 946-8243
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Psychiatric Technician 167G00000X PT 32927 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95012580 CA Primary

Addresses

Primary practice location

954 W Foothill Blvd Ste a
Upland, CA 91786-3782

Mailing address

954 W Foothill Blvd Ste a
Upland, CA 91786-3782
Phone (213) 258-9206

Other practice location 1

41990 Cook St # F-2002
Palm Desert, CA 92211-6100
Phone (760) 674-7132

Other practice location 2

13193 Central Ave Ste 200
Chino, CA 91710-4179
Phone (909) 902-9111

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
I20191206001433 CA Practitioner - Nurse Practitioner 5991138877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
High Desert Psychological ServicesGroup PAC ID 2860819125, 82 clinicians
William Gillespie and Associates IncGroup PAC ID 7517181373, 16 clinicians

Practice addresses (Care Compare)

15497 W Sand St
Victorville, CA 92392-2910
Phone (442) 327-9311

510 S Grand Ave
Glendora, CA 91741-4291
Phone (626) 914-1980

Hospital & facility affiliations

  • L a Downtown Medical Center Hospital, Los Angeles, CA, CCN 050763

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PT 32927CAMDLicensed Psychiatric Technician
95012580CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William Gillespie and Associates Inc. CurrentSince Nov 1, 2019 Accepting new patients
High Desert Psychological Services CurrentSince Oct 12, 2020 Accepting new patients
Health Service Alliance PastSince Jul 1, 2022 Accepting new patients

Locations

510 S Grand Ave
Ste 200
Glendora, CA 91741
Phone (626) 914-1980

1626 Montana Ave
Ste 645
Santa Monica, CA 90403

14390 Park Ave
Victorville, CA 92392
Phone (442) 327-9311

15497 W Sand St
Victorville, CA 92392
Phone (442) 327-9311

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1609094945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 W FOOTHILL BLVD STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863782",
            "telephone_number": "213-258-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 W FOOTHILL BLVD STE A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863782",
            "telephone_number": "909-946-4222",
            "fax_number": "909-946-8243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41990 Cook St # F-2002",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922116100",
            "country_code": "US",
            "telephone_number": "760-674-7132",
            "fax_number": "760-674-7120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13193 Central Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917104179",
            "country_code": "US",
            "telephone_number": "909-902-9111",
            "fax_number": "909-902-9199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLANO",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT 32927",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95012580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.