Individual provider Active NPI

Afaf Soliman, MD

  • Family Medicine Physician
  • South Gate, CA
National Provider Identifier
1720184476
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A53031 Issued in CA
Practice address
8204 Long Beach Blvd
Suite B
South Gate, CA 90280-2011
Phone
(323) 588-3300
Fax
(323) 588-0855
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A53031 CA Primary

Addresses

Primary practice location

8204 Long Beach Blvd
Suite B
South Gate, CA 90280-2011

Mailing address

8204 Long Beach Blvd
Suite B
South Gate, CA 90280-2011
Phone (323) 588-3300

Other identifiers 4

IdentifierTypeStateIssuer
43148OtherCAMOLINA HEALTHCARE OF CA
13586OtherCACARE 1ST HEALTHPLAN
64618OtherCAHEALTH NET
00A53031MedicaidCA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53031CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Miguel Medical Clinic, Inc PastSince Sep 1, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720184476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 LONG BEACH BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802011",
            "telephone_number": "323-588-3300",
            "fax_number": "323-588-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 LONG BEACH BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802011",
            "telephone_number": "323-588-3300",
            "fax_number": "323-588-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIMAN",
        "first_name": "AFAF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE OF CA",
            "identifier": "43148",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE 1ST HEALTHPLAN",
            "identifier": "13586",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "64618",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A53031",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.