DANIEL J. SOLOMON, MD INC (NPI# 1023243359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023243359 |
| Entity Type | Organization |
| Organization Name | DANIEL J. SOLOMON, MD INC |
| Practice Address |
4000 Civic Center Dr Suite 205 San Rafael CA 94903-4171 |
| Practice Telephone | 4154921600 |
| Practice Fax Number | 4154921688 |
| Mailing Telephone | 4154921600 |
| Mailing Fax Number | 4154921688 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |
| Authorized Official Name | DR. DANIEL JORDAN SOLOMON (PRESIDENT) |
| Authorized Official Telephone | 6198761192 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A54759 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4000 CIVIC CENTER DR SUITE 205 |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144219767 | Cynthia Billmeyer Clark | Emergency Medicine | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2005-10-17 |
| 1811597537 | Eugenia Clark | Behavior Technician | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2020-10-30 |
| 1316547698 | Will Perkins | Behavior Technician | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2020-10-27 |
| 1427657725 | Emily Anne Thompson | Behavior Technician | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2020-10-19 |
| 1659982478 | Gregory Natt | Behavioral Analyst | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2020-08-14 |
| 1124651120 | Juliana Kathleen Biro | Behavior Technician | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2020-02-18 |
| 1528691078 | Kaitlyn Bette Rosenblatt | Assistant Behavior Analyst | 4000 Civic Center Dr, San Rafael, CA 94903-4171 | 2020-02-12 |
| 1104368778 | Rajdeep Singh | Nurse Practitioner | 4000 Civic Center Dr, Suite 200, San Rafael, CA 94903-4171 | 2016-11-13 |
| 1033513742 | Crizelda Lauron | Optometrist | 4000 Civic Center Dr, Suite 200a, San Rafael, CA 94903-4171 | 2014-10-09 |
| 1770917478 | West Bay Urgent Care Associates Inc A Medical Corporation | Emergency Medicine | 4000 Civic Center Dr, Suite 206, San Rafael, CA 94903-5233 | 2013-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818860 | Health Link Medical Group Inc | Orthopaedic Surgery | 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 | 2017-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341618 | Casey S Revenko | Orthopaedic Surgery | 2999 Regent St Ste 225, Berkeley, CA 94705-2117 | 2019-05-15 |
| 1225504301 | Amgad Alfred | Orthopaedic Surgery | 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 | 2018-10-16 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1073026696 | Optimal Physician Surgical Group | Orthopaedic Surgery | 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 | 2017-11-06 |
| 1336669456 | Beach Cities Orthopedics Surgery Center, LLC | Orthopaedic Surgery | 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 | 2017-06-20 |
| 1962861476 | Mehta Orthopedics | Orthopaedic Surgery | 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 | 2016-02-12 |
| 1649646282 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 | 2015-08-18 |
| 1114346111 | Sean Robinson | Orthopaedic Surgery | 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 | 2014-04-08 |
| 1851717938 | William R Campbell Do Prof Corp | Orthopaedic Surgery | 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 | 2014-03-12 |
| 1487079810 | Kazimierz Walter Komperda | Orthopaedic Surgery | 800 S Raymond Ave Fl 2, Pasadena, CA 91105-3229 | 2014-02-21 |
| Find all providers with the same taxonomy | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.