Individual provider Active NPI

Vicki Soloniuk, MD

  • Pediatric Adolescent Medicine Physician
  • Davis, CA
National Provider Identifier
1760492987
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
G43766 Issued in CA
Practice address
2051 John Jones Rd
Davis, CA 95616
Phone
(530) 758-2060
NPI assigned
Aug 9, 2006
Last updated
Feb 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G43766 CA
Pediatric Adolescent Medicine Physician 2080A0000X G43766 CA Primary

Addresses

Primary practice location

2051 John Jones Rd
Davis, CA 95616

Mailing address

2051 John Jones Rd
Davis, CA 95616-9701
Phone (530) 758-2060

Other practice location 1

510 Cypress St
Suite D
Fort Bragg, CA 95437-5411
Phone (707) 964-5696

Other practice location 2

510 Cypress St
Suite D
Fort Bragg, CA 95437-5411
Phone (707) 964-5696

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200124001438 CA Practitioner - Hospitalist 6103909858 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G43766CAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Pediatrics CurrentSince Jan 27, 2020 Accepting new patients
Sutter Valley Medical Foundation Pediatrics Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 27, 2020 Accepting new patients
Sutter Regional Medical Foundation Pediatrics Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

2020 Sutter Pl
Ste 201
Davis, CA 95616
Phone (530) 750-5959

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Interoperability endpoints

  • Direct secure messaging: vsoloniuk237293@hisp.ehr.sutterhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1760492987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 JOHN JONES RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956169701",
            "telephone_number": "530-758-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 JOHN JONES RD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95616",
            "telephone_number": "530-758-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Cypress St",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "CA",
            "postal_code": "954375411",
            "country_code": "US",
            "telephone_number": "707-964-5696",
            "fax_number": "707-961-4023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Cypress St",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "CA",
            "postal_code": "954375411",
            "country_code": "US",
            "telephone_number": "707-964-5696",
            "fax_number": "707-961-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLONIUK",
        "first_name": "VICKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G43766",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "G43766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.