Individual provider Active NPI

Mark I Soll, M.D

  • Internal Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1750367587
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G62503 Issued in CA
Practice address
1304 Ella St Ste a
San Luis Obispo, CA 93401-4165
Phone
(805) 549-9555
Fax
(805) 549-0444
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G62503 CA
Pulmonary Disease Physician 207RP1001X G62503 CA
Internal Medicine Physician 207R00000X G62503 CA Primary

Addresses

Primary practice location

1304 Ella St Ste a
San Luis Obispo, CA 93401-4165

Mailing address

1400 E Church St
Medical Staff Office
Santa Maria, CA 93454-5906
Phone (805) 739-3114

Other practice location 1

1428 Phillips Ln Ste 203
San Luis Obispo, CA 93401-2551
Phone (805) 543-4407

Other practice location 2

850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 93420-3929
Phone (805) 547-2224

Other identifiers 2

IdentifierTypeStateIssuer
290012006OtherCARAILROAD MEDICARE PIN
00G0625030MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080804000271 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1254312556 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of California, San Diego School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David B. HammerGroup PAC ID 3971559881, 117 clinicians

Practice addresses (Care Compare)

1051 Las Tablas Rd
Templeton, CA 93465-5603

1064 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 542-9678

1154 E Grand Ave
Arroyo Grande, CA 93420-2583
Phone (805) 395-3277

35 Casa St
San Luis Obispo, CA 93405-1894

35 Casa St
Suite 130
San Luis Obispo, CA 93405-1887
Phone (805) 541-1422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
53.14 of 100Reported as group
Quality
35.86
Promoting interoperability
76
Improvement activities
0
Cost
74.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62503CAMDPharmacist
G62503CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 29, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Jan 24, 2024 Accepting new patients
Adventist Health Physicians Network Internal Medicine CurrentSince Mar 29, 2024 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
First Choice Physician Partners Internal Medicine CurrentSince Jan 24, 2024 Accepting new patients
First Choice Physician Partners Internal Medicine Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

1154 E Grand Ave
Arroyo Grande, CA 93420
Phone (805) 395-3277

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

35 Casa St
Ste 360
San Luis Obispo, CA 93405
Phone (805) 546-7600

35 Casa St
Ste 130
San Luis Obispo, CA 93405
Phone (805) 541-1422

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

Interoperability endpoints

  • Direct secure messaging: mark.soll.1@31068.direct.athenahealth.com

Organizations & group practices 9

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 5

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1750367587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545906",
            "telephone_number": "805-739-3114",
            "fax_number": "805-739-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 ELLA ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014165",
            "telephone_number": "805-549-9555",
            "fax_number": "805-549-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1428 Phillips Ln Ste 203",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934012551",
            "country_code": "US",
            "telephone_number": "805-543-4407",
            "fax_number": "805-543-4587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Fair Oaks Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Arroyo Grande",
            "state": "CA",
            "postal_code": "934203929",
            "country_code": "US",
            "telephone_number": "805-547-2224",
            "fax_number": "805-474-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLL",
        "first_name": "MARK",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-11-08",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G62503",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G62503",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G62503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "290012006",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G0625030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.