Ray Matias Serafino, RN

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AL3262H Issued in AZ

Practice address

1974 E Clear Lake Dr
Fort Mohave, AZ 86426-6742

Phone

(928) 201-5033

NPI assigned

Feb 26, 2025

Last updated

Feb 26, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1063219236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1974 E CLEAR LAKE DR",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266742",
            "telephone_number": "928-201-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1974 E CLEAR LAKE DR",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266742",
            "telephone_number": "928-201-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERAFINO",
        "first_name": "RAY",
        "middle_name": "MATIAS",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "AL3262H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary A Rosenberg, DPT
• Socorro Ruiz
• Safeway Inc (Safeway Pharmacy #1474)
• Scott I Boggs
• Maura Kathleen Seabury
• Oleg V Serbine, M.D.
• Serenity Home Health LLC
• Valerie A Silvas, PHARM D
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #473)
• Emanuel H Solomon, PHARMACIST

• Adult Care Home Facility in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.