Active NPI
Roberto Solorio Jr., LCSW
- Clinical Social Worker
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 102729
- Practice address
- 4445 Eastgate Mall Ste 200
San Diego, CA 92121-1979 - Phone
- (866) 478-3978
- NPI assigned
- Oct 3, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CA | ||
| Clinical Social Worker | 1041C0700X | 102729 | CA | Primary |
Addresses
Primary practice location
4445 Eastgate Mall Ste 200
San Diego, CA 92121-1979
Mailing address
2921 S Redondo Blvd Apt 9
Los Angeles, CA 90016-3852
Phone (323) 537-5866
Other practice location 1
150 Valpreda Rd
San Marcos, CA 92069-2973
Phone (760) 736-6767
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102729 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cyti Health PC | Current | Accepting new patients | |
| Homeless Health Care Los Angeles | Past | Accepting new patients | |
| San Fernando Community Hospital | Past | Accepting new patients |
Locations
11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317
3111 Camino del Rio N
Ste 460
San Diego, CA 92108
4445 Eastgate Mall
Ste 200
San Diego, CA 92121
Phone (844) 724-7365
402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1679172290
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1467751800
-
- Primary Care Clinic/Center
- San Fernando, CA
- NPI 1245669555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1972088185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2921 S REDONDO BLVD APT 9",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900163852",
"telephone_number": "323-537-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 EASTGATE MALL STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211979",
"telephone_number": "866-478-3978"
}
],
"practiceLocations": [
{
"address_1": "150 Valpreda Rd",
"address_purpose": "LOCATION",
"city": "San Marcos",
"state": "CA",
"postal_code": "920692973",
"country_code": "US",
"telephone_number": "760-736-6767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLORIO",
"first_name": "ROBERTO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-03",
"last_updated": "2022-09-28",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "102729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.