MEDICARE: SOLIS MEDICAL GROUP CA PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103T00000X	Psychologist
2	103TH0100X	Health Service Psychologist
3	163WW0000X	Wound Care Registered Nurse
4	207N00000X	Dermatology Physician
5	2084H0002X	Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
6	2084P0805X	Geriatric Psychiatry Physician
7	208VP0000X	Pain Medicine Physician
8	363LA2100X	Acute Care Nurse Practitioner
9	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1902691660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLIS MEDICAL GROUP CA PC

Provider Business Mailing Address
First Line	:	6659 SCHAEFER RD STE 155
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48126-1812
Country	:	US
Telephone Number	:	833-869-1532
Fax Number	:	833-869-1553

Provider Business Practice Location Address
First Line	:	341 EVIAN WAY
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-9261
Country	:	US
Telephone Number	:	833-869-1532
Fax Number	:	833-869-1553

Authorized Official
Title or Position	:	CONSULTANT
Name	:	PHOEBE GUTIERREZ
Credential	:
Telephone Number	:	916-826-4269

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	05/21/2025

Similar Medicare Providers

1831984269 — SOLIS MEDICAL GROUP PC
Practice Location Address:

341 EVIAN WAY
MT PLEASANT, SC
29464-9261

Practice Phone: 313-392-3234
Practice Fax:

1922525518 — MRS. JAMIE ELIZABETH DECKER FNP-C
Practice Location Address:

160 W GRANITE ST APT A
BUTTE, MT
59701-9261

Practice Phone: 406-302-2808
Practice Fax: 406-299-3323

1053319020 — LAURA LOUISE DEPAS CRNA
Practice Location Address:

7760 ACHTERMAN RD
PLEASANT PLAIN, OH
45162-9261

Practice Phone: 513-260-3188
Practice Fax: 513-877-3320

1508729328 — ALEXANDRA NICOLE JENNINGS
Practice Location Address:

180 WINGO WAY STE 106
MT PLEASANT, SC
29464-1810

Practice Phone: 843-410-0597
Practice Fax:

1255294989 — EAST COOPER PHYSICIAN GROUP LLC
Practice Location Address:

851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC
29464-3793

Practice Phone: 843-971-9350
Practice Fax: 843-971-9351

1861253999 — EAST COOPER PHYSICIAN GROUP LLC
Practice Location Address:

851 LEONARD FULGHUM DR STE 101
MT PLEASANT, SC
29464-3793

Practice Phone: 843-971-9350
Practice Fax: 843-971-9351

Directions to “SOLIS MEDICAL GROUP CA PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.