Active NPI
Wasatch Medical Clinic,LLC
- Physician Assistant
- Sandy, UT
National Provider Identifier
1780367466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- WASATCH MEDICAL CLINIC,LLC
- Practice address
- 235 W 9000 S
Sandy, UT 84070-2049 - Phone
- (801) 893-2682
- Fax
- (385) 351-9686
- NPI assigned
- Aug 9, 2023
- Last updated
- Mar 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda Marie Solorio, PA-C/FNP
- Title
- Manager
- Phone
- (209) 485-0954
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
235 W 9000 S
Sandy, UT 84070-2049
Mailing address
235 W 9000 S
Sandy, UT 84070-2049
Phone (801) 893-2682
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
235 W 9000 S
Sandy, UT 84070
Phone (801) 893-2682
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- West Valley City, UT
- NPI 1952392250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1780367466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 W 9000 S",
"city": "SANDY",
"state": "UT",
"postal_code": "840702049",
"telephone_number": "801-893-2682",
"fax_number": "385-351-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 W 9000 S",
"city": "SANDY",
"state": "UT",
"postal_code": "840702049",
"telephone_number": "801-893-2682",
"fax_number": "385-351-9686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASATCH MEDICAL CLINIC,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-09",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "SOLORIO",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "209-485-0954",
"authorized_official_credential": "PA-C/FNP"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.