Organization Active NPI

Gastroenterology Medical Practice of Pejman Solaimani MD Inc

  • Gastroenterology Physician
  • Riverside, CA
National Provider Identifier
1851082267
Registry record updated May 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
GASTROENTEROLOGY MEDICAL PRACTICE OF PEJMAN SOLAIMANI MD INC
Practice address
6927 Brockton Ave Ste 2a
Riverside, CA 92506-3807
Phone
(310) 927-4063
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2023

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

Authorized official

Name
Dr. Pejman Solaimani, MDNPI 1750647418
Title
President/Chief Excutive Officer
Phone
(310) 927-4063

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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

6927 Brockton Ave Ste 2a
Riverside, CA 92506-3807

Mailing address

6927 Brockton Ave Ste 2a
Riverside, CA 92506-3807
Phone (310) 927-4063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230823000553 CA Part B Supplier - Clinic/Group Practice 3072976117 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684627200000",
    "number": "1851082267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6927 BROCKTON AVE STE 2A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063807",
            "telephone_number": "310-927-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6927 BROCKTON AVE STE 2A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063807",
            "telephone_number": "310-927-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTROENTEROLOGY MEDICAL PRACTICE OF PEJMAN SOLAIMANI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-21",
        "certification_date": "2023-05-21",
        "status": "A",
        "authorized_official_last_name": "SOLAIMANI",
        "authorized_official_first_name": "PEJMAN",
        "authorized_official_title_or_position": "PRESIDENT/CHIEF EXCUTIVE OFFICER",
        "authorized_official_telephone_number": "310-927-4063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; 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.

Verify at the official NPI Registry.