Organization Active NPI

Santa Rosa Family Medical Clinic

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1023039765
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SANTA ROSA FAMILY MEDICAL CLINIC
Practice address
4055 Whittier Blvd
Los Angeles, CA 90023-2536
Phone
(323) 261-4641
Fax
(323) 261-4757
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Rafael Antonio Serna, M.D
Title
Medical
Phone
(323) 804-6569

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4055 Whittier Blvd
Los Angeles, CA 90023-2536

Mailing address

4055 Whittier Blvd
Los Angeles, CA 90023-2536
Phone (323) 261-4641

National Provider Directory

National Provider Directory

Locations

4055 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 261-4641

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023039765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232536",
            "telephone_number": "323-261-4641",
            "fax_number": "323-261-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900232536",
            "telephone_number": "323-261-4641",
            "fax_number": "323-261-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SERNA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "MEDICAL",
        "authorized_official_telephone_number": "323-804-6569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.