SOLANO FAMILY PHYSICANS MEDICAL GROUP PROFESSIONAL CORPORATION (NPI# 1053429969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053429969 |
| Entity Type | Organization |
| Organization Name | SOLANO FAMILY PHYSICANS MEDICAL GROUP PROFESSIONAL CORPORATION |
| Practice Address |
3431 Broadway St Suite A-8 American Canyon CA 94503-1228 |
| Practice Telephone | 7076457229 |
| Practice Fax Number | 7076457431 |
| Mailing Telephone | 7076457229 |
| Mailing Fax Number | 7076457431 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-12-29 |
| Authorized Official Name | DR. KENNETH RICHARD BROOKS (PRESIDENT/CEO) |
| Authorized Official Telephone | 7076457229 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 00A0627550 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3431 BROADWAY ST SUITE A-8 |
| City | AMERICAN CANYON |
| State | CA |
| Zip Code | 94503-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720090863 | Julia Villa, D.d.s., Inc. | Clinic/Center | 3431 Broadway St, Suite A-7, American Canyon, CA 94503-1228 | 2006-08-13 |
| 1083036776 | Julia Villa | Dentist | 3431 Broadway St, Suite A-7, American Canyon, CA 94503-1228 | 2014-01-14 |
| 1184065823 | Newmd Urgent Care Center, Inc. | Clinic/Center | 3431 Broadway St, A8, American Canyon, CA 94503-1228 | 2013-07-10 |
| 1427308121 | The Medical Offices of Kenneth R Brooks, Professional Corporation | Clinic/Center | 3431 Broadway St, Suite A-8, American Canyon, CA 94503-1228 | 2012-09-11 |
| 1386959948 | Medestate Inc. | Clinic/Center | 3431 Broadway St, Suite A-8, American Canyon, CA 94503-1228 | 2010-08-06 |
| 1891810099 | Gary L Mccorkle | Physician Assistant | 3431 Broadway St, A8, American Canyon, CA 94503-1228 | 2007-03-20 |
| 1508946476 | Medestate Inc. | Clinic/Center | 3431 Broadway St, Suite A-8, American Canyon, CA 94503-1228 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134540073 | Zhz-zhz Li Vasquz-z | Acupuncturist | 126 Tapestry Lane, American Canyon, CA 94503 | 2013-12-19 |
| 1649611781 | Barbara Perry | Social Worker | 101 W American Canyon Rd Ste 508-171, American Canyon, CA 94503 | 2013-07-16 |
| 1053694554 | Lucia J Mijares | Pharmacist | 127 Summerwood Drive, American Canyon, CA 94503 | 2011-09-21 |
| 1285771725 | Marichelle Montano Othman | Internal Medicine | 3431 Napa-vallejo Hwy, Suite A2, American Canyon, CA 94503 | 2007-02-01 |
| 1316091309 | Joanne P. Rivera | Dentist | 120 W. American Canyon Rd., Suite M-8, American Canyon, CA 94503 | 2007-01-23 |
| 1710075387 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 7011 Main St., American Canyon, CA 94503 | 2006-10-10 |
| 1225514870 | Faris Gheith | Behavior Technician | 120 Theresa Ave, American Canyon, CA 94503 | 2018-07-17 |
| 1922524693 | Melissa Lai | Physical Therapist | 3975 Old Redwood Hwy, Medical Office Building 5, Suite 152, Santa Rosa, CA 94503 | 2017-08-15 |
| 1598089013 | Stephen Gregory Rasmussen | Chiropractor | 100 West American Canyon Rd Ste - K6, American Canyon, CA 94503-1083 | 2010-03-26 |
| 1144693664 | Melissa Ann Dingler | Registered Nurse | 2 Melvin Rd, American Canyon, CA 94503-1102 | 2015-11-05 |
| Find all providers in zip 94503 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437189230 | Rosarin Kriengprarthana | Family Medicine | 10 Oriole Ct, American Canyon, CA 94503-3079 | 2006-07-04 |
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| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
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| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | AMERICAN CANYON |
| Zip Code | 94503 |
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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.