Active NPI
Soloniuk Clinic a Medical Corporation
- Pain Medicine (Anesthesiology) Physician
- Redding, CA
National Provider Identifier
1962722793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- G48518
- Legal business name
- SOLONIUK CLINIC A MEDICAL CORPORATION
- Practice address
- 2111 Airpark Dr
Redding, CA 96001-2433 - Phone
- (530) 247-3733
- Fax
- (530) 246-0644
- NPI assigned
- Jun 3, 2010
- 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
- Theodore Workman Jr., M.D.
- Title
- President
- Phone
- (530) 247-3733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G48518 | CA | Primary |
Addresses
Primary practice location
2111 Airpark Dr
Redding, CA 96001-2433
Mailing address
2111 Airpark Dr
Redding, CA 96001-2433
Phone (530) 247-3733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C3267823 | Other | CA | CORPORATE NUMBER |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2058638 | Soloniuk Clinic, a Medical Corp. | Certificate of waiver | May 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
590 Antelope Blvd
Ste 40A
Red Bluff, CA 96080
Phone (530) 529-9454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657584000000",
"number": "1962722793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 AIRPARK DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960012433",
"telephone_number": "530-247-3733",
"fax_number": "530-246-6906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 AIRPARK DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960012433",
"telephone_number": "530-247-3733",
"fax_number": "530-246-0644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLONIUK CLINIC A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-03",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A",
"authorized_official_last_name": "WORKMAN",
"authorized_official_first_name": "THEODORE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-247-3733",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G48518",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORPORATE NUMBER",
"identifier": "C3267823",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.