Active NPI
Mark I Soll, M.D
- Internal Medicine Physician
- San Luis Obispo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G62503
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290012006 | Other | CA | RAILROAD MEDICARE PIN |
| 00G0625030 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- 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. Hammer
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
- Dignity Health Home Health
- Adventist Health Sierra Vista
- French Hospital Medical Center
- Marian Regional Medical Center
- Adventist Health Twin Cities
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.14 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 62503 | CA | MD | Pharmacist |
| G62503 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Adventist Health Physicians Network | Internal Medicine | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| First Choice Physician Partners | Internal Medicine | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
dba Central Coast Chest Consultants Medical Corporation
- Critical Care Medicine (Internal Medicine) Physician
- San Luis Obispo, CA
- NPI 1740267574
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Family Medicine Physician
- Arroyo Grande, CA
- NPI 1306604681
Internal Medicine
-
dba Ventana Health and Medical Center
- Internal Medicine Physician
- Pismo Beach, CA
- NPI 1215376496
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1912264862
-
dba Dignity Health Women's Center - Southwest
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba French Hospital Medical Center
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1881760452
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
dba Sierra Vista Regional Medical Center
- General Acute Care Hospital
- San Luis Obispo, CA
- NPI 1639101116
-
dba Twin Cities Community Hospital
- General Acute Care Hospital
- Templeton, CA
- NPI 1396778197
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.