JACOB BENJAMIN SOLED RN NPI 1326693326

NPI Information

  • NPI: 1326693326
  • Provider Name: JACOB BENJAMIN SOLED, RN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2235 CHALLENGER WAY
    SANTA ROSA, CA
    ZIP 95407
  • Phone: (707) 565-4900

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NPI Details

Jacob Benjamin Soled, RN is a psychiatric/mental health nurse practitioner in Santa Rosa, CA with 3 years of experience. Jacob Benjamin Soled, RN NPI is 1326693326. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2235 CHALLENGER WAY
SANTA ROSA, CA
ZIP 95407-458
Phone: (707) 565-4900

The NPI 1326693326 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/6/2019 and was last updated on 3/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental HealthRN95171379CALIFORNIANo
2163W00000XRegistered Nurse283910NORTH CAROLINANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health95026966CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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