Gus Jr Solis, PA-C
Physician Assistant in Modesto, CA. Individual provider (NPI-1).
NPI number1104780063
StatusActive
Last updated in NPPESMar 30, 2026
Details
- NPI
- 1104780063
- Entity type
- Individual (NPI-1)
- Name
- Gus Jr Solis
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2025
- Certification date
- Mar 30, 2026
- Last updated
- Mar 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 67720 | CA | Yes |
Practice location
1441 Florida AveModesto, CA 95350-4418
Phone 626-484-5448
Mailing address
1441 Florida AveHospitalist Suite
Modesto, CA 95350-4404
Phone 626-484-5448
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 127 Physician Assistant providers in Modesto · All 10,803 providers in Modesto
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