Active NPI
Shane Rayos del Sol, M.D., Inc.
- Sports Medicine (Family Medicine) Physician
- Fountain Valley, CA
National Provider Identifier
1639093453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- Legal business name
- SHANE RAYOS DEL SOL, M.D., INC.
- Practice address
- 18035 Brookhurst St Ste 1100
Fountain Valley, CA 92708-6738 - Phone
- (714) 861-4888
- NPI assigned
- Aug 5, 2026
- Last updated
- Aug 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shane Rayos del Sol, MD
- Title
- Physician
- Phone
- (714) 457-5866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | Primary |
Addresses
Primary practice location
18035 Brookhurst St Ste 1100
Fountain Valley, CA 92708-6738
Mailing address
18035 Brookhurst St Ste 1100
Fountain Valley, CA 92708-6738
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Student in an Organized Health Care Education/Training Program
- Buena Park, CA
- NPI 1801534508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785888000000",
"number": "1639093453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18035 BROOKHURST ST STE 1100",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18035 BROOKHURST ST STE 1100",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927086738",
"telephone_number": "714-861-4888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHANE RAYOS DEL SOL, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A",
"authorized_official_last_name": "RAYOS DEL SOL",
"authorized_official_first_name": "SHANE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "714-457-5866",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.