Theodore Thomas Solomon, LISW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1990 41St Ave
San Francisco, CA 94116-1101

Phone

(415) 753-7400

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1942228416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 STEINER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153118",
            "telephone_number": "415-238-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 41ST AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941161101",
            "telephone_number": "415-753-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "THEODORE",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N3915",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew D. Solomon, MD
• Neil Andrew Solomon, M.D.
• Randall L Solomon, MD
• Salina Solomon
• Stefanie Driscoll Solomon, DPT
• William Bernard Solomon, MD
• Gregory Solomonow
• Julia Solomons
• Claribel Solorio
• Gabriela Solorio

• Community Health Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.