Isai Serrano, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

128995 Issued in CA

Practice address

79505 Camelback Dr
Bermuda Dunes, CA 92203-1485

Phone

(657) 784-1997

NPI assigned

Mar 20, 2019

Last updated

Apr 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Therapy Room, Isai Serrano, Licensed Clinical Social Worker, Professional Corp

  • Clinical Social Worker
  • Bermuda Dunes, CA
  • NPI 1396531919
  NPD Authorized official

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1114487923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79505 CAMELBACK DR",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922031485",
            "telephone_number": "657-784-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79505 CAMELBACK DR",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922031485",
            "telephone_number": "657-784-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRANO",
        "first_name": "ISAI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "128995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Anthony Ramirez
• Janet Lee Roberts, M.D.
• Brandon Rosi, PT, DPT, CSCS
• Scott Russell, DO
• Scott Russell DO Inc (Scott Russell DO, MHA)
• Mark Shabashov, RPH
• Arif J Shaikh, M.D.
• Maridy Sherrill
• Cody Shimabukuro, DPT
• Sukhchain Singh

• Clinical Social Worker in Bermuda Dunes, CA
• Providers in Bermuda Dunes, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.