Raphael Clemente Serrano, LMFT LICENSED MARRIG

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC28721 Issued in CA

Practice address

401 Mobil Ave
Suite 8
Camarillo, CA 93010-6344

Phone

(805) 448-7732

Fax

(805) 482-3762

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1013927615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MOBIL AVE",
            "address_2": "SUITE 8",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106344",
            "telephone_number": "805-448-7732",
            "fax_number": "805-482-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MOBIL AVE",
            "address_2": "SUITE 8",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106344",
            "telephone_number": "805-448-7732",
            "fax_number": "805-482-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "RAPHAEL",
        "middle_name": "CLEMENTE",
        "name_prefix": "Mr.",
        "credential": "LMFT LICENSED MARRIG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC28721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoriano Segura
• Farid R Sehati
• Victoria Seiberlich, PTA
• Brittany Senff, PA-C
• Serena Sciallo
• Neda Lisa Setareh, DDS
• Orah Shafa
• Gigi Nacional Shafer
• Haimesh Shah, M.D.
• Marilou Shakouri

• Marriage & Family Therapist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.