Individual provider Active NPI

Heralio G Serrano, MD

  • Internal Medicine Physician
  • San Francisco, CA
National Provider Identifier
1013065754
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G72733 Issued in CA
Practice address
3850 17TH St
Castro-Mission Health Center
San Francisco, CA 94114-2031
Phone
(415) 487-7500
Fax
(415) 558-8221
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G72733 CA Primary

Addresses

Primary practice location

3850 17TH St
Castro-Mission Health Center
San Francisco, CA 94114-2031

Mailing address

3850 17TH St
Castro-Mission Health Center
San Francisco, CA 94114-2031
Phone (415) 487-7500

Other identifiers 1

IdentifierTypeStateIssuer
028159OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G72733CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Area Health Associates Current Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Mar 26, 2014 Accepting new patients
Permanente Medical Group, Inc CurrentSince Mar 26, 2014 Accepting new patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
City and County of San Francisco Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

240 Shotwell St
San Francisco, CA 94110
Phone (415) 552-1013

1580 Valencia St
Ste 506
San Francisco, CA 94110
Phone (415) 641-6500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Interoperability endpoints

  • Direct secure messaging: hserrano715528@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013065754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 17TH ST",
            "address_2": "CASTRO-MISSION HEALTH CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142031",
            "telephone_number": "415-487-7500",
            "fax_number": "415-558-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 17TH ST",
            "address_2": "CASTRO-MISSION HEALTH CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142031",
            "telephone_number": "415-487-7500",
            "fax_number": "415-558-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "HERALIO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G72733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "028159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.