Individual provider Active NPI

David Michael Soliani

  • Independent Duty Corpsman
  • Camp Pendleton, CA
National Provider Identifier
1649879537
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
License
04204038DS
Practice address
BLD 4101 Stuart Mesa Road
Camp Pendleton, CA 92055-5584
Phone
(760) 390-9244
NPI assigned
Oct 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X 04204038DS Primary

Addresses

Primary practice location

BLD 4101 Stuart Mesa Road
Camp Pendleton, CA 92055-5584

Mailing address

168 Hamilton St
Oceanside, CA 92058-7720
Phone (860) 307-5538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1649879537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 HAMILTON ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587720",
            "telephone_number": "860-307-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLD 4101 STUART MESA ROAD",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555584",
            "telephone_number": "760-390-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIANI",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": "04204038DS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Pendleton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.