Active NPI
Jasmine Solola, MD
- General Practice Physician
- Oakland, CA
National Provider Identifier
1831848746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A189822
- Practice address
- 747 52ND St
Oakland, CA 94609-1809 - Phone
- (510) 428-3331
- NPI assigned
- Mar 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A189822 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
747 52ND St
Oakland, CA 94609-1809
Mailing address
1 Lakeside Dr Apt 1410
Oakland, CA 94612-4685
Other practice location 1
275 W MacArthur Blvd
Oakland, CA 94611-5641
Phone (510) 752-6274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260326000810 | IL | Order and Referring Only - Pediatric Medicine | 8123503364 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A189822 | CA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1831848746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LAKESIDE DR APT 1410",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946124685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 52ND ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091809",
"telephone_number": "510-428-3331"
}
],
"practiceLocations": [
{
"address_1": "275 W MacArthur Blvd",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946115641",
"country_code": "US",
"telephone_number": "510-752-6274",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLOLA",
"first_name": "JASMINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-20",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A189822",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.