Active NPI
Solis Medical Group Ca PC
- General Practice Physician
- Mount Pleasant, SC
National Provider Identifier
1902691660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SOLIS MEDICAL GROUP CA PC
- Practice address
- 341 Evian Way
Mt Pleasant, SC 29464-9261 - Phone
- (833) 869-1532
- Fax
- (833) 869-1553
- NPI assigned
- Apr 14, 2025
- Last updated
- May 21, 2025
- 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
- Phoebe Gutierrez
- Title
- Consultant
- Phone
- (916) 826-4269
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Health Service Psychologist | 103TH0100X | |||
| Wound Care Registered Nurse | 163WW0000X | |||
| Dermatology Physician | 207N00000X | |||
| Hospice and Palliative Medicine (Psychiatry & Neurology) Physician | 2084H0002X | |||
| Geriatric Psychiatry Physician | 2084P0805X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Pain Medicine Physician | 208VP0000X | |||
| Acute Care Nurse Practitioner | 363LA2100X |
Addresses
Primary practice location
341 Evian Way
Mt Pleasant, SC 29464-9261
Mailing address
6659 Schaefer Rd Ste 155
Dearborn, MI 48126-1812
Phone (833) 869-1532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Emergency Medicine Physician
- North Charleston, SC
- NPI 1497740476
CA, General Practice
-
- Behavior Technician
- Lynchburg, VA
- NPI 1447829395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747785600000",
"number": "1902691660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6659 SCHAEFER RD STE 155",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481261812",
"telephone_number": "833-869-1532",
"fax_number": "833-869-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 EVIAN WAY",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294649261",
"telephone_number": "833-869-1532",
"fax_number": "833-869-1553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLIS MEDICAL GROUP CA PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-14",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "PHOEBE",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "916-826-4269"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084H0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.