Active NPI
Adam Solomon, MD
- Internal Medicine Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G88613
- Practice address
- 17360 Brookhurst St
Fountain Valley, CA 92708-3720 - Phone
- (714) 377-2900
- NPI assigned
- Nov 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD19791 | OR | |
| Internal Medicine Physician | 207R00000X | G88613 | CA | Primary |
Addresses
Primary practice location
17360 Brookhurst St
Fountain Valley, CA 92708-3720
Mailing address
17360 Brookhurst St
Fountain Valley, CA 92708-3720
Phone (714) 377-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079301 | Medicaid | OR |
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
- Internal Medicine
- Education
- University of Maryland School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3090 Bristol St
Suite 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585
Hospital & facility affiliations
- Coral Cove Post Acute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G88613 | CA | MD | Internal Medicine Physician |
| MD19791 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GN Medical Associates, Inc. | Current | Accepting new patients | |
| Care Partners California Medical PC | Current | Accepting new patients | |
| Careconnectmd Ca PC | Current | Accepting new patients | |
| Memorialcare Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Salem Health | Past | Accepting new patients |
Locations
495 E Rincon St
Ste 105
Corona, CA 92879
Phone (888) 969-9808
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777
3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1366063125
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1275576522
-
- Geriatric Medicine (Family Medicine) Physician
- Costa Mesa, CA
- NPI 1669260493
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Long Beach, CA
- NPI 1790194769
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1871576041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17360 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083720",
"telephone_number": "714-377-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17360 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083720",
"telephone_number": "714-377-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "ADAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD19791",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G88613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079301",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.